Insurance
In the past few years the paperwork and processing time associated with billing insurance has become burdensome for a small clinic like mine.
All therapy and evaluation sessions will be billed on a cash basis. If you wish to seek reimbursement from your insurance, I will provide you with a monthly superbill which you can submit to your insurance company. The superbill will list the codes describing the diagnosis and type of therapy provided. I can’t guarantee coverage of any services provided. You will want to check with your insurance company to see whether your plan has out of network benefits. The CPT codes most often used are 92507
Below are step-by-step instructions to help you successfully submit superbills to your insurance company for reimbursement.
Step-by-Step Instructions for Submitting Superbills
Obtain Your Superbill
- Upon request, I will email a superbill at the end of each month.. A superbill is a detailed receipt that includes information about the services rendered, diagnosis codes, and the total amount charged.
Review the Superbill
- Check that all information on the superbill is accurate. Ensure that your name, date of service, provider details, and services rendered are correctly listed. Any discrepancies may delay reimbursement.
Check Your Insurance Benefits
- Contact your insurance company or check your policy online to verify your coverage for the services you received. Understand your deductible, copayment, and whether the services are eligible for reimbursement.
Complete an Insurance Claim Form
- Obtain the appropriate insurance claim form from your insurance company’s website or customer service. Fill out the form accurately, providing all requested personal and policy information. If the form asks for the location of therapy, choose “Office – 11”.
Attach Your Superbill
- Include the superbill you received from your provider along with the completed claim form. Make sure to keep a copy of the superbill for your records.
Include Additional Documentation
- If necessary, add any additional documentation that may be required by your insurance provider. This could include medical records or referral letters, depending on your insurance plan’s requirements.
Submit Your Claim
- Send your completed claim form and superbill to the address provided by your insurance company. You can typically submit claims via mail, fax, or online, depending on the insurer’s rules.
Keep a Record and Follow Up
- Document the date of your submission and any tracking numbers if applicable. Follow up with your insurance company after a few weeks to check on the status of your reimbursement.
Receive Payment
- Once your claim is processed, you will receive a payment from your insurance company either directly or through your healthcare provider, depending on your plan’s policies.
Address Any Issues
- If your claim is denied or if you encounter any issues, review the denial letter, contact your insurance provider for clarification, and take the necessary steps to appeal or resubmit your claim if needed.
By following these steps, you can effectively navigate the process of submitting a superbill to your insurance company and ensure you are reimbursed for the services you have received. Always remember to keep a thorough record of communications and submissions to facilitate a smooth reimbursement experience.
