Insurance Reimbursement. In order for us to set realistic treatment goals and priorities, It is I important to evaluate the resources you have available to pay for your treatment. I am a “fee for service” provider and therefore am not on any insurance panel. Therefore, it is very important that you find out exactly what “out of network” mental health services your insurance policy covers. You should carefully read the section in your insurance coverage booklet that describes mental health services. If you have questions about the coverage, call your plan administrator. Of course, I will provide you with whatever information I can based on my experience and will be happy to help you in understanding the information you receive from your insurance company. If you choose to submit for reimbursement, I will provide you with an invoice that has the information you well need to complete the forms for your insurance company. Please be aware that most insurance companies require your clinical diagnosis be included on any reimbursement form. Sometimes your insurance company request I submit additional clinical information, such as treatment plans, progress notes or summaries, or copies of the entire record (in rare cases). This information will become xxx of the insurance company files. Although all insurance companies claim to keep such information confidential, I have not 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 records I submit if you request it. You understand that, by using your insurance, you authorize me to release such information to your insurance company. I will try to keep that information limited to the minimum necessary. It is important to remember that paying for services yourself, without the use of insurance, avoids the problems described above SERtfICE DELItfERY Modalities of services delivered are on based treatment goals developed from the diagnostic process. In general there are several principles that underlay the approach to treatment. *Children are not typically treated in isolation; therefore parent involvement is often part of the intervention plan. Sessions will be scheduled based on need and may either be conjoint (with the child) or separate in parenting sessions. * This practice includes the use of nurturing touch for young children when appropriate to child’s diagnosis and to promote eye-contact, shared attention...
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 ...
Insurance Reimbursement. If you have a health insurance policy, it will usually provide some coverage for mental health treatment should you care to use your insurance for these services. You (not your insurance company) are responsible for full payment of my fees. It is very important that you find out exactly what mental health services your insurance policy covers.
Insurance Reimbursement. Your health insurance policy is a contract between you and your insurance company; I am not a party in that contract. Collection of insurance benefits or any other arrangement regarding third party payment is your responsibility. I would be considered an out-of-network provider to many insurers and you will need to inquire about your benefits regarding this. At this time, I am not contracting directly with insurance companies as a network provider so I am responsible and accountable only to you. Thus, my loyalties are not divided and there is no conflict of interest. I will give you a receipt for your insurance company. Please specify if you intend to submit a claim due to the extra information required for insurance reimbursement -- including a mental health diagnostic code. Additionally, you may want to find out if your insurer will require me to provide them with any detailed information about you. You may understandably elect not to use your insurance to protect your confidentiality or to avoid any label they may require. Confidentiality, HIPAA, & Limitations: I will not discuss the details of your/your child/family’s situation or any issues we talk about (or release information to any third party) without your specific permission to do so. One of the strengths of the counseling relationship is the freedom that you have to discuss your feelings, actions, and needs related to you/your child/family without concern that others might learn about you through me. I am bound by the ethical code of my profession to protect this confidential relationship. The Health Insurance Portability And Accountability Act Of 1996 (commonly known as HIPAA) provides specific protections which are detailed in an additional document I can provide to you. Please be aware that the intent of HIPAA is to clarify the processes by which private health information is passed among different parties, and focuses on the entire health care profession (physicians, laboratories, hospitals, agencies, etc.). Many of the guidelines do not apply directly to a social worker in private practice. In fact, the obligations I have to you as a function of the social work profession’s code of ethics are generally more restrictive than those found in HIPAA. Nevertheless, please let me know if you have questions. Limitations to the rules of confidentiality are listed below:
Insurance Reimbursement. Therapist is not a contract provider with any insurance company or managed care organization. Should Patient choose to use his or her insurance, Therapist will provide Patient with a statement, which Patient can submit to the third-party of Patient’s choice to seek reimbursement for fees already paid.
Insurance Reimbursement. Xxxxxx Xxxxxxx is a network member with a variety of different insurance plans. In these cases, The Connection Place will file your insurance claims. It is your responsibility as a client to obtain “authorizations” or “certifications” from your insurance or managed care company for treatment. However, The Connection Place cannot guarantee payment by your particular plan. Even when an insurance carrier “authorizes” services, actual payment for those services is contingent upon a number of specifics, some of which may not be known until after services have been delivered. For example, a client may not have received a diagnosis that is covered by the client’s insurance policy. It is the client’s responsibility to be knowledgeable about his/her health insurance policy’s mental health benefits and all limitations. The client is responsible for payment of any amounts not paid by insurance, and your signature on the agreement form indicates your acceptance of this responsibility. You should carefully read the section in your insurance coverage booklet that describes mental health services. Mental health coverage and limitations usually differ from normal medical coverage. If you have questions about your insurance coverage, please call your plan administrator. By signing this agreement form, you agree that The Connection Place can provide necessary information to your insurance carrier.
Insurance Reimbursement. If you plan to request reimbursement from your insurance, please understand that you should check your coverage carefully and contact your plan administrator with questions. Xxxxx Xxxxxx does not contract directly with any insurance company and does not accept payment from insurance companies. Most families choose to submit their service invoice for reimbursement from their insurance company. Please note Xxxxx Xxxxxx will not advise or answer specific questions related to reimbursement or insurance coverage for services. Consent for the Treatment of Minor Children Therapeutic services generally require the consent of both parents prior to providing any services to a minor child. If any question exists regarding the authority of a guardian to give consent for services, Xxxxx Xxxxxx will require the guardian to submit supporting legal documentation prior to the commencement of services. Patient Bill of Rights You have the right to: • Request and receive full information about the therapist's professional capabilities, including licensure, education, training, experience, professional association membership, specialization, and limitations. • Have written information about fees, method of payment, insurance reimbursement, number of sessions, substitutions (in cases of vacation and emergencies), and cancellation policies before beginning therapy. • Receive respectful treatment that will be helpful to you. • A safe environment, free from sexual, physical, and emotional abuse. • Ask questions about your therapy. • Refuse to answer any question or disclose any information you choose not to reveal. • Request that the therapist inform you of your progress. • Know the limits of confidentiality and the circumstances in which a therapist is legally required to disclose information to others. • Refuse a particular type of treatment or end treatment without obligation or harassment. • Refuse electronic recording (but you may request it if you wish). • Request and (in most cases) receive a summary of your file, including the diagnosis, your progress, and type of treatment • Report unethical and illegal behavior by a therapist • Receive a second opinion at any time about your therapy or therapist's methods. • Request the transfer of a copy of your file to any therapist or agency you choose. source: California Department of Consumer Affairs Consent Your signature(s) below indicates that you have read the information in this document and agree to be bound by its terms. By s...
Insurance Reimbursement. If you have a health insurance policy, it will usually provide some coverage for mental health treatment. It is very important that you find out exactly what mental health services your insurance policy covers. I will provide you with whatever assistance I can in helping you receive the benefits to which you are entitled; however, you, not your insurance company, are responsible for full payment of my fees. You should be aware that your contract with your health insurance company may require that I provide it with information relevant to the services that I provide to you. I am required to provide a clinical diagnosis and, possibly, a brief substantiation of that diagnosis. Sometimes I am required to provide additional clinical information including dates of treatment and a brief description of the services provided. 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 data bank. I will provide you with a copy of any report I submit, if you request it. By signing this Agreement, you agree that I can provide requested information to your insurance company.
Insurance Reimbursement. In order for us to set realistic treatment goals and priorities, it is important to evaluate what resources you have available to pay for your treatment. If you have a health insurance policy and a diagnostic code that these services can help address, it will often provide some coverage for mental health treatment. However, policies vary widely in regard to coverage for this type of family reunification services. We will provide you with whatever assistance we can in helping you receive the benefits to which you are entitled; however, you (not your insurance company) are responsible for full payment of our fees. It is very important that you find out exactly what mental health services your insurance policy covers. You should also be aware that your contract with your health insurance company requires that we provide it with information relevant to the services that we provide to you. We are required to provide a clinical diagnosis. Sometimes we are required to provide additional clinical information such as treatment plans or summaries, or copies of your entire Clinical Record. In such situations, we will make every effort to release only the minimum information about you that is necessary for the purpose requested. 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, we 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. We will provide you with a copy of any report we submit, if you request it. By signing this Agreement, you agree that we can provide requested information to your carrier.
Insurance Reimbursement. Neither Elevate Health nor their Physicians nor other providers will seek any reimbursement from any insurer, Medicare, Medicaid, or any third party payer for any services included in this Agreement.
