Common use of Insurance Reimbursement Clause in Contracts

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.