We use cookies on our site to analyze traffic, enhance your experience, and provide you with tailored content.

For more information visit our privacy policy.

PAYMENTS & INSURANCE REIMBURSEMENT Sample Clauses

PAYMENTS & INSURANCE REIMBURSEMENT. Xx. Xxxxx is a an out-of-network provider for most PPO insurance plans. The fee for the Intake Evaluation is $250. Subsequent sessions or the standard rate for therapy is $225.00 per 50-minute session. Full payment for services is due when services are rendered. Please notify Xx. Xxxxx if any problems arise during the course of therapy regarding your ability to make timely payments. Clients who carry insurance, with the exception of Medicare, should remember that professional services are rendered and charged to the client and not to the insurance company. Unless agreed upon differently, Xx. Xxxxx will provide you with a superbill, which you can then submit to your insurance company for reimbursement, if you choose. As was indicated in the section Health Insurance & Confidentiality of Records, you must be aware that submitting a mental health invoice for reimbursement carries a certain amount of risk. Not all issues/conditions/problems dealt with in psychotherapy are reimbursed by insurance companies. It is your responsibility to verify the specifics of your coverage. If your account is overdue (unpaid) and there is no written agreement on a payment plan, Xx. Xxxxx can use legal or other means (courts, collection agencies, etc.) to obtain payment. Should you elect to pay by check, you are responsible to ensure that sufficient funds are available to cover the expense. Should a check be returned as unpayable due to insufficient funds, or any other reason, you are responsible for any fee charged to the account by the banking institution as well as the cost of the initial service. In addition, a $25.00 fee will be charged on all returned checks.
PAYMENTS & INSURANCE REIMBURSEMENT. If you have a health insurance policy, it will usually provide some coverage for mental health treatment. Your therapist will fill out forms and provide you with 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 fees for treatment. It is very important that you find out exactly what mental health services your third-party payer covers. You should carefully read the section in your insurance or EAP coverage booklets that describe mental health or EAP services. Clients who have insurance or EAP should remember that not all issues/conditions/problems, which are the focus of psychotherapy, are reimbursed by those payers. It is your responsibility to verify the specifics of your coverage. If you have questions about the coverage, call your plan administrator. Due to the rising costs of healthcare, insurance benefits have increasingly become more complex. It is sometimes difficult to determine exactly how much mental health coverage is available. Managed health care plans such as EAPs, and PPOs often require authorization before they provide reimbursement for mental health services. These plans are often limited to short-term treatment approaches designed to work out specific problems that interfere with a person's usual level of distress and functioning. While a lot can be accomplished in short-term therapy, some cases may require more services after insurance benefits end. Once you and your therapist have all of the information about your insurance coverage, you and she will discuss what you can hope to accomplish with the benefits that are available and what will happen if they run out before you feel ready to end your sessions. It is important to remember that you always have the right to pay for services yourself to avoid the problems described above [unless prohibited by contract]. Clients are required to pay the standard fee of $200.00 for the initial session and $150.00 for each follow up session. The full cost of your session is due at the beginning of session unless arrangements have been made for your therapist to submit claims to your insurance carrier or EAP providers. Prior to the start of therapy, your therapist will make a copy of your credit/debit card to charge fees for service even if you choose to pay with cash. Your therapist does not keep cash on site for change; therefore, you must bring the exact copayment amount or agree...
PAYMENTS & INSURANCE REIMBURSEMENT. Patients are expected to pay the standard fee, $150 per therapy hour, at the end of each session or at the end of the month unless other arrangements have been made. Please notify me if any problem arises during the course of therapy regarding your ability to make timely payments. Patients who request me to bill insurance companies for payment should be aware that submitting a mental health invoice carries a certain amount of risk. Not all conditions or problems that are the focus of psychotherapy are reimbursed by insurance companies. It is your responsibility to verify the specifics of your coverage.
PAYMENTS & INSURANCE REIMBURSEMENT. I provide a variety of psychotherapeutic, psychodiagnostic and consulting services to clients. The fee amount and billing structure may vary depending on the service. I would be happy to provide you with a listing of these fees upon request. You will always be informed as to the cost of a service before it is provided and will be given a payment agreement specifying costs of services and terms of payment. I require that a credit card be put on file.
PAYMENTS & INSURANCE REIMBURSEMENTPatients without insurance are expected to pay in full at the time of service. Patients with insurance are expected to pay co-pay amount at the time of each visit. If during the course of treatment, insurance is terminated for any reason or maximum is paid out by insurance per episode or yearly maximum is met, patient will be considered to be a self-pay basis. If your insurance payment is not received within 60 days, or if the amount paid by your insurance is less than expected, due to deductible, exclusion, lack of medical necessity or lack of benefits, you will be responsible for the remainder of the balance.
PAYMENTS & INSURANCE REIMBURSEMENT. Therapy sessions are 50 minutes in duration for adults and adolescents; 90 minutes for families. The full fee for service is $125 per therapy session for individuals, or $145 for couples or adolescents, due at the beginning of each session. Accepted forms of payment include cash, checks or credit cards. Xx. Xxxxx utilizes billing software for credit card payments, providing safe, secure and convenient billing. There will be a $20 charge on any returned checks. Telephone conversations, site visits, report writing, consultation (including any determination for disability or employment) will be charged at an hourly rate of $125, unless indicated and agreed upon otherwise. I will be happy to provide you a statement of services to assist you in any reimbursement by insurance. Please notify Xx. Xxxxx if any problems arise during the course of therapy regarding your ability to make timely payments.
PAYMENTS & INSURANCE REIMBURSEMENTThe process of a thorough psychological evaluation is formal and lengthy, generally involving 15 to 20 hours of the psychologist’s time. Patients are expected to pay by check the full evaluation fee of $200.00 per billed 50 minutes. A $1500.00 initial payment is due by mail with paper work filled out by patient and parents one week prior to the first testing session and the balance is due at the time of the follow-up consultation). Complete evaluations generally run between $2750.00 and $3000.00 for the total hours involved which include testing time, scoring time, analysis time, follow-up consultation time, and written report time. Telephone conversations and consultation time with other professionals who have knowledge of the patient, site visits, review of records, report writing, and travel time, etc. will be charged at the same rate of $200.00 per 50 minutes. Patients who carry mental health insurance should remember that professional services rendered are charged to the patients at the time of the service and are not billed to insurance companies. Xx. Xxxxxxx will provide you with a copy of your receipt for each hour billed at the time of the follow-up consultation. The receipt can then be submitted by you to your insurance company for reimbursement if you so choose. Some insurance companies pay for psychological testing only with pre-approval or when the patient is in therapy prior to the testing request. If this is the case with your insurance company, you will need to come in for an initial session to determine the need for testing. Because Xx. Xxxxxxx is not a provider for any insurance companies, be sure to verify your coverage stating that you are using an “out of network” provider. The CPT code used for psychological evaluations is 96101. Again, it is your responsibility to verify the specifics of your coverage. Please bring a check or use Venmo for the evaluation balance due at the time of the follow-up consultation. If you wish to know ahead of the consultation the exact amount of the balance due over and above your $1500.00 deposit, please notify Xx. Xxxxxxx and she will be happy to provide the balance due prior to the consultation.
PAYMENTS & INSURANCE REIMBURSEMENT. As a Fee-For-Service provider, I do not xxxx insurance companies. Each clinician has a set hourly rate which will be discussed prior to your initial consultation. Current rates can be found on our website (x0x.xxx) or in office. Telephone conversations, site visits, writing and reading of reports, consultation with other professionals, release of information, reading records, longer sessions, travel time, etc. will be charged at the same rate, unless indicated and agreed upon otherwise. Please notify me if any problems arise during the course of therapy regarding your ability to make timely payments. Clients who carry insurance should remember that professional services are rendered and charged to the clients and not to the insurance companies. Unless agreed upon differently, I will provide you with a copy of your receipt, which you can then submit to your insurance company for reimbursement, if you so choose. As was indicated in the section, Health Insurance & Confidentiality of Records, you must be aware that submitting a mental health invoice for reimbursement carries a certain amount of risk. Not all issues/conditions/problems, which are dealt with in psychotherapy, are reimbursed by insurance companies and some insurance companies do not reimburse the total fee. It is your responsibility to verify the specifics of your coverage. If your account is overdue (unpaid) and there is no written agreement on a payment plan, it is within my discretion not to provide more sessions until the xxxx is paid. I also have the right to charge a $25 rebilling fee for unpaid balances.

Related to PAYMENTS & INSURANCE REIMBURSEMENT

  • 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 the case with you, we will discuss what our fees are and the best way for you to arrange payment in order to receive continued treatment. If your insurance company does not allow us to see you after your benefits end, we will be happy to assist you in finding another therapist who will work well with you.

  • Expense Reimbursement The Executive shall be entitled to receive reimbursement for all appropriate business expenses incurred by him in connection with his duties under this Agreement in accordance with the policies of the Company as in effect from time to time.

  • Course Reimbursement 1. Teachers will be eligible for reimbursement for courses that will enhance the Teacher’s ability to improve student academic performance. 2. To be eligible for reimbursement, courses must be approved by the Professional Growth Committee (employing the program of staff development mandated by the state as an integral part of the Teacher’s recertification process) prior to taking the course; advance approval from the Superintendent of Schools is required. 3. Upon successful completion of the course with a grade of “B” or better, and submission of a transcript or signed official grade report and verification of tuition payment to the Superintendent, the Teacher will be reimbursed for the cost of tuition and registration fees. 4. Payment of course reimbursement is for tuition and related fees only. An individual is entitled to receive 2/3 reimbursement cost for 6 graduate level credits during each year of this contract not to exceed the New Hampshire resident UNH graduate level dollar amount plus any related fees. However, in no event shall the District expend more than $20,000 per contract year for course reimbursement. In the event that requests for course reimbursement exceed $20,000 in a contract year, the following lottery system will apply: Reimbursement will be available in two (2) reimbursement periods. Employees may apply for up to six (6) credits during period 1 after June 30th and prior to October 1st. Employees may apply for up to six (6) during period 2 starting December 1st. The disbursement of funds in period 1 shall not exceed half of the yearly agreed upon amount. Any sums not used during period 1 shall be rolled into period 2. Anyone applying during period 1 who has met the period 1 deadline will have their application considered. If the total of the requests is more than the designated monetary amount, then a lottery system will ensue to determine which applications receive the money. Those whose applications were not selected in period 1 will be eligible to submit again during period 2. If the total of the requests for period 2 is more than the designated monetary amount, then a lottery system will ensue to determine which applications receive the money. The disbursement in period 2 shall not exceed the total agreed upon amount. Applications for reimbursement in period 2 may not have received any previous reimbursement during period 1 unless there are unexpended funds in period 2. Also, if an applicant received funds in period 1, that application may not cause a lottery to occur in period 2. 5. Advance Payment Plan - The District will prepay for any course that has been approved by the Professional Growth Committee (employing the program of staff development mandated by the state as an integral part of the Teacher's recertification process). Each participating Teacher will enter into an Agreement with the District to submit receipts, grades, and other paperwork for the course that was prepaid. The Teacher will agree in writing to keep his/her advanced payment account records up- to-date. If the Teacher fails to fulfill the requirements of the advanced payment plan, the Teacher agrees that the District will withhold any balance due the District from the last paycheck under the Teacher's contract.

  • Business Expense Reimbursement During the Term of employment, the Executive shall be entitled to receive proper reimbursement for all reasonable, out-of-pocket expenses incurred by the Executive (in accordance with the policies and procedures established by the Company for its senior executive officers) in performing services hereunder, provided the Executive properly accounts therefore.

  • Meal Reimbursement When an employee is specifically directed by the City to work two (2) hours or longer at the end of his/her normal work shift of at least eight (8) hours or work two (2) hours or longer at the end of his/her work shift of at least eight (8) hours when he/she is called in to work on his/her regular day off, or otherwise works under circumstances for which meal reimbursement is authorized per Ordinance 111768 and the employee actually purchases a reasonably priced meal away from his place of residence as a result of such additional hours of work, the employee shall be reimbursed for the "reasonable cost" of such meal in accordance with Seattle Municipal Code (SMC) 4.20.

  • Waiver of Subrogation, Reimbursement and Contribution Notwithstanding anything to the contrary contained in this Guaranty, Guarantor hereby unconditionally and irrevocably waives, releases and abrogates any and all rights it may now or hereafter have under any agreement, at law or in equity (including, without limitation, any law subrogating the Guarantor to the rights of Lender), to assert any claim against or seek contribution, indemnification or any other form of reimbursement from Borrower or any other party liable for payment of any or all of the Guaranteed Obligations for any payment made by Guarantor under or in connection with this Guaranty or otherwise.

  • Business Expense Reimbursements During the Term, the Company shall promptly reimburse Executive for Executive’s reasonable and necessary business expenses in accordance with the Company’s then-prevailing policies and procedures for expense reimbursement (which shall include appropriate itemization and substantiation of expenses incurred).

  • Expense Reimbursements To the extent that any reimbursements payable pursuant to this Agreement are subject to the provisions of Section 409A of the Code, any such reimbursements payable to Executive pursuant to this Agreement shall be paid to Executive no later than December 31 of the year following the year in which the expense was incurred, the amount of expenses reimbursed in one year shall not affect the amount eligible for reimbursement in any subsequent year, and Executive’s right to reimbursement under this Agreement will not be subject to liquidation or exchange for another benefit.

  • Mileage Reimbursement Subject to the current Vehicle Rules and Regulations established by the Board, an employee who is authorized to use a private automobile in the performance of duties shall be paid the Internal Revenue Service Standard Mileage Rate for the Business Use of a Car for each mile driven during each monthly period.

  • Insurance Costs (08/19) Contractor shall be financially responsible for all premiums, deductibles, self-insured retentions, and self-insurance.