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.
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PAYMENTS & INSURANCE REIMBURSEMENT. I operate as a fee-for-service therapist, meaning that my services are paid for directly by the client without anyone arranging the fee or service but you (the patient) and me (the therapist). This arrangement is more conducive to the type of psychotherapy services provided by this therapist and it allows the work to be more solely between the two of us. (This will be addressed more in the section regarding insurance.) Unless a different arrangement is made between us, I expect payment at the time of service. Payment can be made by cash, check or credit card. Service Amount Psychotherapy per session $90.00 If paying with credit card $95.00 Telephone Consultation (beyond 10 mins) $90.00, prorated 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. Not all issues/conditions/problems that are the focus of psychotherapy are reimbursed by insurance companies. It is your responsibility to verify the specifics of your coverage. If you desire to submit for reimbursement from your insurance company, you should also be aware that most insurance companies require that I provide them with a clinical diagnosis. At times, I might have to provide additional clinical information such as treatment plans or summaries, or copies of the entire record (in rare cases). 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, I have no control over what they do with it once it is in their hands. In some cases, they may share the information with a national medical information databank. I will provide you with a copy of any report submitted, if you request it. Legal proceedings that require this therapist’s participation, incur additional charges. These include all professional time, including preparation and transportation costs, even if this therapist is called to testify by another party. Due to the difficulties of legal involvement, the charge for preparation and attendance for any legal proceeding is $240.00 per hour. Information disclosed in sessions is considered confidential and will not be revealed to anyone outside the consulting room without your written permission. In all but a few situations, state law and rules of my profession protect your confidentiality. The following are the legally permissible exceptions to confidentiality...
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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.
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PAYMENTS & INSURANCE REIMBURSEMENT. The 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.
Sample 1
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.
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PAYMENTS & INSURANCE REIMBURSEMENT. Patients 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.
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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.
Sample 1
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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.
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Related to PAYMENTS & INSURANCE REIMBURSEMENT

  • Insurance Reimbursement If you have a health insurance policy, it will usually provide some coverage for mental health treatment. I will facilitate your receipt of the benefits to which you are entitled including filling out forms and speaking with insurance representatives. You will be held responsible for full payment of our agreed upon fee should your insurance company deny benefits or should your coverage lapse. Therefore, it is very important that you find out exactly what mental health benefits your insurance policy covers. Read your plan carefully and call your service representative if you have questions. Many insurance plans require advance authorization before they will provide reimbursement for mental health services. These plans often are oriented toward a short-term model and provide only a certain amount of sessions per year. Many insurance companies may only authorize a few sessions at a time and I will need to periodically call them to authorize additional sessions. When I call to authorize treatment or continue our sessions, I will provide them with the minimum amount of information needed, usually including a diagnosis, goals for treatment, and a brief summary of your current functioning. It is possible, but very rare, that they would require a copy of my clinical record. This information will become part of insurance company files and is likely to be computerized. All insurance companies claim to keep such information confidential, but once it is in their hands, I have no control over what they do with it. In some cases, they may share the information with a national medical information data bank. By signing this Agreement, you agree that I can provide requested information to your insurance carrier. If you request it, I will provide you with a copy of any report that I am asked to submit. I make it my policy to inform you along the way of where we stand with your insurance company and what kind of information they have requested. Should insurance coverage end for some reason, we can discuss an out-of-pocket session fee. You can always choose to select this option and have the right to pay for my services yourself to avoid the complexities of the insurance industry.

  • 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 beginning or end of their normal work shift away from their place of residence of at least eight (8) hours or work two (2) hours or longer at the end of their work shift of at least eight (8) hours when the employee is called in to work on their 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.

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