We are a private pay practice
This continues to be an intentional choice to provide the best level of care we could dream up for our clients and our team of providers. We will post more information about this soon so check back often. In the meantime, to inquire about our rates and the assistance available, please call our office manager at 478-992-0305.
We opt out of insurance entanglements for everyone’s benefit
More information will be posted soon about the downsides to utilizing insurance benefits when seeking mental health care. Check back often!
We can provide a Superbill
What is a Superbill and How Do You Use It?
A superbill is a detailed invoice or receipt from your therapist that outlines the services you received.
It's not a bill for payment, but documentation needed to file a claim with your insurance for potential reimbursement.
Essentially, it's a means to get reimbursed for services you've already paid for, especially if your therapist is out-of-network.
Why is it Important?
It allows you to use your out-of-network benefits, potentially reducing your out-of-pocket costs for therapy.
It gives you flexibility to choose a therapist who best fits your needs, even if they aren't directly contracted with your insurance.
It can help you meet your yearly deductible faster.
What Information is on a Superbill?
Your Information: Name, date of birth, address, phone number, and potentially your insurance policy information.
Your therapist's information: Name, professional credentials (e.g., LMFT, LCSW), license number, NPI (National Provider Identifier), contact information, and Tax ID/EIN.
Service Details: Dates of service, type of therapy (e.g., individual, group), and duration of sessions.
Service Codes:
CPT (Current Procedural Terminology) codes: Describe the specific services or treatments provided (e.g., 90837 for a 55-minute individual session).
ICD-10 (International Classification of Diseases) codes: Indicate your diagnosis and the medical necessity of the services.
Fees: Breakdown of charges for each session and the total amount you paid.
How to Use Your Superbill for Reimbursement:
1. Check Your Insurance Plan: Contact your insurance company or visit their website to confirm you have out-of-network benefits for mental health services. Ask about:
Your deductible and if you've met it.
Reimbursement percentage for out-of-network providers.
Their specific process for submitting superbills.
If you need prior authorization.
2. Obtain a Superbill: Your therapist will provide you with a superbill at the frequency you request.
3. Gather Necessary Information: You may need to fill out a separate insurance claim form, depending on your provider. This can usually be found on your insurance company's website.
4. Submit Your Claim: Follow your insurance company's instructions. Common methods include:
Online portal: Often the fastest and most secure way.
Mail: Send to the address provided by your insurer.
Fax: If they accept fax, be mindful of privacy if using public machines.
5. Keep Records: Make copies of everything you submit (superbill, claim form, etc.) for your records.
6. Follow Up: Insurance companies typically take a few weeks to process claims. If you don't hear back, follow up.
Important Reminders:
Accuracy is Key: Ensure all information on the superbill and claim form is correct to prevent denials.
Be Persistent: If your claim is denied, review the denial letter and gather any supporting documentation, You can re-file corrected claims.
Your Therapist's Role: Your therapist will provide you with the superbill and can help you understand it. However, they are not responsible for whether your claim gets reimbursed. You are responsible for submitting and following up with your insurance.
