Step 1: Contact your insurance company and ask the following questions:
- Is the provider I want to see considered in network?
- Are the following codes covered: 90791, 90834, 90837, 90846, 90847?
- What will my patient responsibility be for each code? (if they do not have our specific contracted rates available, we can share those with you)
- Does my deductible apply for mental health visits? If so, how much is left to meet on my deductible?
- Ask for a reference number and the name of the representative who you are speaking to. If EOBs come back later with different information than you were given, you may have more ability to push back on charges with your insurance company if you can have a reference number handy and show that they gave you inaccurate information.
Step 2: Send us your insurance card and information
Step 3: Pay your estimated cost (based on what your insurance quoted you and what we are able to see in the provider portal) at the time of service (typically cards on file are run at the end of the week for appointments)
Step 4: Check your EOB for accuracy after claims have been submitted and processed (typically about 30 days after your appointment). If your patient responsibility is different from the estimate, you will either be billed the remainder or refunded to adjust accordingly.
Step 5: Reach out and ask us any questions! We are always happy to answer questions and we are here to help. We can correct any errors that we have made on our end. We can also help you with setting up payment plans or sliding scale if needed. We do not like surprise bills any more than you do, and as long as you are communicating with us and treating our admin and billing staff with respect , we will continue to work with you and be flexible on payment plans or payment options as we are able.