Billing & Billing Questions

For out-of-network reimbursement, I provide a superbill to submit to your insurance provider.

Here are some questions you can ask your insurance provider about their out-of-network coverage:

How much coverage is available for out-of-network providers? For example, does the insurance company reimburse the full fee or a portion of the full fee?

What is the deductible (the amount you must pay first before you are eligible for reimbursement of fees)?

Does the insurance company limit the total number of visits or sessions per calendar year? If yes, what is the total number of sessions per calendar year?

Does the insurance company limit the total amount reimbursed per session? If so, ask how much they reimburse for the following CPT Codes, otherwise known as procedure codes. Please be sure to ask about telehealth sessions, in addition to in-person sessions:

• 90791 (integrated biopsychosocial assessment, including history, mental status, and recommendations)

• 90834 (typical 45-minute session)

• 90837 (an extended session of 60-minutes)

• 90847 (family psychotherapy with patient present)

• 90846 (family psychotherapy without patient present)