We are a self-pay only provider, which means insurance classifies us as an out-of-network provider. While we do not bill insurance companies directly, many of our clients are able to receive reimbursement for our services if they have out-of-network benefits. This is common with PPO, EPO, and POS plans.

 

How the Reimbursement Process Works

1. Payment: You pay the full session fee at the time of your appointment.

2. Superbill: At the end of each month, we provide you with a "Superbill." This is a standard medical receipt that contains all the clinical codes your insurance needs.

3. Submission: You submit that Superbill to your insurance company.

4. Reimbursement: Your insurance company processes the claim and sends a check directly to you.

Please Note: The reimbursement process is an agreement solely between you and your insurance provider. While we provide the necessary documentation to assist you, we are not responsible for the outcome of your insurance claims or the amount of reimbursement you may receive. We cannot guarantee that your insurance company will provide coverage for our services.

 

Verifying Your Benefits

We recommend calling the member services number on the back of your insurance card to ask:

• "Do I have out-of-network benefits for outpatient mental health office visits (CPT code 90837)?"

• "What is my out-of-network deductible, and have I met it yet?"

• "Once my deductible is met, what percentage of the fee is reimbursed to me?"

 

Third-Party Assistance

If you would like help managing the paperwork, there are third-party programs available such as Mentaya, Thrizer, or Reimbursify. These services are designed to simplify and help with the process of reimbursement, often handling the filing and tracking of your claims for you.

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