How to Submit For Reimbursement Through Insurance
Though I require full payment at the time of service, many patients with Out Of Network (OON) benefits choose to submit claims for reimbursement to their health insurance company. Deductibles and co-pays may apply.
Additionally, there may be a difference between my fee and the allowable fee determined by your OON plan. Please contact your insurance company directly beforehand for information on submitting reimbursement requests for OON service (see below for guidance).
There is an app Reimbursify (IOS/Android) to electronically take the receipt (aka a “super-bill”) I provide for quickest electronic submission to your insurance company, assuming OON reimbursement, shortly following each visit.
Questions you should direct towards your insurance include:
What are my Out of Network Benefits?
How much is my deductible?
After I meet my deductible, how much will you reimburse for visits to OON Providers? (quote the CPT codes mentioned above)
Is there a limit to the number of visits you will reimburse for?
How do I submit the receipt or superbill my doctor provided for possible reimbursement?
Due to legal restrictions, I am prohibited from seeing patients who have Medicare, Medicaid, or any governmental-sponsored insurance (ex. MassHealth), under ANY circumstances, even if privately paid.