Insurance Reimbursement Sample Clauses

Insurance Reimbursement. In order for us to set realistic treatment goals and priorities, it is important to evaluate what resources you have available to pay for your treatment. Please note that Xxxxx Xxxxxxxxx is an “Out-of-Network" provider. If you choose to file insurance, our office will gladly fill out a bill that will enable you to submit to current insurance carrier. Once you receive the claim forms from your insurance carrier you mail the bill I provided along with the claim form to your insurance company, who in turn, should mail you a check. We strongly recommend researching details about your mental health coverage. If you have a secondary health insurance company, you’ll need to find out that coverage and the interactions with the first coverage. It’s helpful to find out specifics of your mental health coverage with your insurance company by asking questions such as: Is there a deductible? How many visits per year are covered? What are the dates of the benefit year? Which services are covered (e.g., couples therapy, group therapy)? You should also be aware that your contract with your health insurance company requires that this office provide it with information relevant to the services that your therapist provides to you, including a clinical diagnosis. Sometimes your therapist is required to provide additional clinical information such as treatment plans or summaries, or copies of your entire Clinical Record. In such situations, your therapist will make every effort to release only the information about you that is necessary for the purpose requested. This information will become part of the insurance company files and will probably be stored in a computer. Though all insurance companies claim to keep such information confidential, your therapist has no control over what they do with it. In some cases, they may share the information with a national medical information databank. Your therapist, Xxxxx Xxxxxxxxx, will provide you with a copy of any report submitted, if you request it. By signing this Agreement, you agree that your therapist can provide requested information to your insurance. Your therapist, Xxxxx Xxxxxxxxx, will gladly provide whatever assistance she can in helping you receive the benefits to which you are entitled; however, you (not your insurance company) are responsible for full payment of this practice’s fees. Also, please note that you always have the right to pay for your services without seeking insurance reimbursement in order to avoid the pro...
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Insurance Reimbursement. If you have health insurance, your behavioral health treatments may be covered in whole or in part. The BHCTC will assist you in determining your insurance coverage and will help you fill out any forms needed. Many managed care plans often require an authorization before treatment can begin. You may be required to contact your insurance company to obtain this authorization and/or receive it from your primary care physician. Many managed care plans limit counseling and therapy services to short-term treatment designed to work out specific problems that prevent people from living and working as they normally do. As this is the BHCTC’s model of treatment, this often works out well. Where necessary, we may request more sessions from the managed care plan. In order to do so, we are typically required to complete the insurance company’s forms which may include providing your diagnosis, the reasons you have sought treatment from the BHCTC, the symptoms you are suffering, and how long we believe treatment will or should continue. The information provided will become part of the insurance company’s files. Insurance companies are obligated to keep this information confidential; however, please note that the BHCTC has no control over the handling of this information by the insurance company. If you receive treatment from one of our NJ Licensed Psychologists, your insurance company may request that you authorize the psychologist to disclose certain confidential information in order to obtain insurance coverage benefits for these services. This disclosure can occur only if it is pursuant to a valid authorization and the information is limited to: 1) administrative information (name, age, sex, fees, dates, nature of sessions, etc.); 2) diagnostic information; 3) the status of the patient (voluntary/involuntary; inpatient/outpatient); 4) the reason for continuing psychological services (limited to an assessment of the current level of functioning and the level of distress both rated as mild, moderate, severe or extreme); and 5) a prognosis, limited to the estimated minimal length of treatment. If the Insurance Company has reasonable cause to believe that the psychological treatment in question may not be usual, customary or is unreasonable, it may request an independent review of such treatment by an independent review committee. While a lot can be accomplished in short-term therapy, some people feel they need more services after their insurance benefits end. If this is ...
Insurance Reimbursement. In order for us to set realistic treatment goals and priorities, it is important to evaluate what resources you have available to pay for your treatment. If you have a health insurance policy, it may provide some coverage for mental health treatment. I will fill out
Insurance Reimbursement. If you have a health insurance policy, it will usually provide some coverage for mental health treatment should you care to use your insurance for these services. You (not your insurance company) are responsible for full payment of my fees. It is very important that you find out exactly what mental health services your insurance policy covers.
Insurance Reimbursement. This section applies only if you chose to use your health insurance.
Insurance Reimbursement. Therapist is not a contract provider with any insurance company or managed care organization. Should Patient choose to use his or her insurance, Therapist will provide Patient with a statement, which Patient can submit to the third-party of Patient’s choice to seek reimbursement for fees already paid.
Insurance Reimbursement. If you plan to request reimbursement from your insurance, please understand that you should check your coverage carefully and contact your plan administrator with questions. Xxxxxxxxx Xxxxxxxxxx does not contract directly with any insurance company and I do not accept payment from insurance companies. Most families choose to submit their service invoice for reimbursement from their insurance company. Please note I will not advise or answer specific questions related to reimbursement or insurance coverage for services.
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Insurance Reimbursement. Xxxxxx Xxxxxxx is a network member with a variety of different insurance plans. In these cases, The Connection Place will file your insurance claims. It is your responsibility as a client to obtain “authorizations” or “certifications” from your insurance or managed care company for treatment. However, The Connection Place cannot guarantee payment by your particular plan. Even when an insurance carrier “authorizes” services, actual payment for those services is contingent upon a number of specifics, some of which may not be known until after services have been delivered. For example, a client may not have received a diagnosis that is covered by the client’s insurance policy. It is the client’s responsibility to be knowledgeable about his/her health insurance policy’s mental health benefits and all limitations. The client is responsible for payment of any amounts not paid by insurance, and your signature on the agreement form indicates your acceptance of this responsibility. You should carefully read the section in your insurance coverage booklet that describes mental health services. Mental health coverage and limitations usually differ from normal medical coverage. If you have questions about your insurance coverage, please call your plan administrator. By signing this agreement form, you agree that The Connection Place can provide necessary information to your insurance carrier.
Insurance Reimbursement. If you have a health insurance policy that the provider participates with, it usually provides some coverage for mental health services. We will submit claims on your behalf however, you (not your insurance company) are responsible for full payment of our fees. It is very important that you find out exactly what mental health services your insurance policy covers.
Insurance Reimbursement. Due to the rising costs of health care, insurance benefits have increasingly become more complex. It is sometimes difficult to determine exactly how much, if any, mental health coverage is available. In order to set realistic treatment goals and priorities, it is important to evaluate what resources you have available to pay for your treatment. It is very important that you find out exactly what mental health services your insurance policy covers as soon as possible. It is your responsibility to contact your insurance company to verify your coverage and benefits for mental health treatment. MINORS & PARENTS. Patients under 18 years of age, who are not emancipated, and their parents should be aware that the law may allow parents to examine their child’s treatment records unless this office decides that such access is likely to injure the child or unless agreed otherwise. Privacy in counseling is crucial to successful progress, particularly with teenagers; it is this office’s policy to request an agreement from parents that they consent to give up their access to their child’s records. If parents agree, then during the course of treatment, this office will provide parents only general information about the progress of the child’s treatment and attendance at scheduled sessions. This office may also provide parents with a summary of their child’s treatment when it is complete, if requested. Any other communication will require the child’s authorization unless it is felt that the child is in danger or is a danger to someone else, in which case, the counselor will notify the parents of the concern. Before giving parents any information this office will discuss the matter with the child, if possible, and attempt to resolve any objections they may have. QUESTIONS AND COMMENTS. Please feel free to discuss any questions or comments with your counselor.
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