Billing
I am considered an “out-of-network” provider because I do not have a contract with any insurance companies. If you have out-of-network benefits, your insurance plan may reimburse you for a portion of your therapy expenses. The amount of reimbursement will depend on your policy. You’ll have the option of going to Intention Therapy’s Client Portal to download a receipt called a “superbill” that you can submit to your insurance company to seek reimbursement. Alternatively, you can choose to avoid insurance altogether and pay out of pocket.
Verifying Your Out-Of-Network Coverage
Since every insurance plan is unique, I encourage you to verify your out-of-network coverage. To do this, you can either (1) visit your insurer’s website to view your plan details or (2) call the customer service number on the back of your insurance card to ask the following questions:
What is my OON coverage for outpatient mental health services?
What is my OON deductible? How much has been met?
Will I need to pay out of pocket for OON therapy until the deductible is met?
What percentage or dollar amount will I be reimbursed once my deductible is met?
Am I required to get a referral from my primary care physician?
What service codes does my plan cover?
Service Codes Used at Intention
90791 - initial evaluation
90837 - ongoing 53+ minute individual psychotherapy
Payment
Payment is due at the time of service. Clients keep a credit, debit, HSA, or FSA card on file that can be charged after each session.
Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA)
If you have an HSA or FSA, I recommend you review the terms of use to determine whether behavioral health services are considered eligible expenses. If so, you can upload your HSA or FSA card to Intention’s Client Portal and use it like a credit/debit card to cover the cost of services. You can download receipts from Intention’s Client Portal.
Rates
No cost for 15 minute phone consultation
$220 for initial evaluation
$200 for ongoing 53+ minute individual psychotherapy sessions
$50 for 90 min DBT Group sessions
Insurance Claim FAQs
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There are two ways to find your insurance company's process for out-of-network claim submission:
1. Insurer's website: Most insurers have a dedicated section on their website for claims information.
Insurer’s websites typically have a login portal for members. Log in if you have an account.
Look for sections labeled "Claims", "Submit a Claim", "Member Resources", or something similar.
Within these sections you should find information on out-of-network claim submission processes, including downloadable claim forms and instructions.
2. Customer service: If you can't find the information online, contacting customer service is a straightforward way to get help.
Look for the customer service phone number on your insurance card or website.
Explain to the representative that you need to submit an out-of-network claim and inquire about the process.
They can guide you through the steps, answer your questions, and potentially send you the necessary forms.
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You will typically need the following documents:
Claim form: Obtain a claim form from your insurer's website or by calling them.
Superbill: This document is available on Intention Therapy’s Client Portal and lists services, codes, and charges.
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Generally, you'll have two options for submitting claims:
Online Submission: Many insurance companies allow online claim submission through a secure member portal. Sign in to your account and look for the "Submit a Claim" or "Out-of-Network Claims" option. This typically involves downloading a claim form and uploading it back with supporting documentation.
Mail Submission: If online submission isn't available, you can request a claim form by phone or download it from the website. Complete the form and mail it, along with your receipts and any requested medical records, to the address provided by your insurance company.
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Time limits: There are often deadlines for submitting claims (usually 30-90 days after receiving care). Submit them promptly to avoid delays or rejections.
Contact your insurer: If you have questions about the process, contact your insurer's customer service for guidance.