Private Pay- Out of Network Provider (OON)

I am a private pay, out-of-network (OON) provider, meaning that I do not bill any insurance companies or EAPs directly. However, I am able to provide you with paperwork called a “super-bill”, which you may submit to your insurance company for reimbursement. Some insurance companies reimburse up to 40-80% of the billed cost. Please check with your insurance company to determine your out-of-network coverage. If it is helpful, you may provide the following information to your insurance company when inquiring about your out-of-network benefits:

CPT Insurance Codes

• 90791 for the Intake Appointment

• 90837 for a 55-minute psychotherapy session

If you would like help submitting out-of-network claims, there’s a service called Reimbersify that will submit the insurance reimbursement paperwork for you. The first claim is free, and then they charge $2.99 to $3.99 per claim. You can find more information at https://reimbursify.com/.

Payment

Prior to your intake appointment, you will be asked to provide a credit card number to have on file. Your credit card will be billed at the end of your each session.

Cancellation Policy

You may cancel or reschedule your appointment within 48-hours of your appointment time. Exceptions may be made for serious accidents and/or illness. Clients who do not show up for their appointment without notice will be charged the full session fee.