How to Bill Insurance As A Client
Our goal is to make counseling as accessible as possible. We are also committed to staying independent and local. We offer a variety of rates and reimbursement support, but do not work directly with insurance companies.
We offer low cost services with our interns. Sessions with fully licensed therapists (LMFT, LPC or LCSW) are often eligible for out-of-network reimbursement. Associate-level counselors (LMFT-A, LPC-A or LMSW) offer a slightly lower rate and are sometimes eligible for reimbursement. Check your insurance carriers benefits directly. We can help. Below are steps for how to check your insurance benefits and bill insurance as a client.
Using Your Insurance as a Client.
Many clients can get part of their cost reimbursed through their plan’s out-of-network benefits. We are considered out-of-pocket and don’t bill insurance directly, however we help to simplify the process of using your benefits. Here’s how.
Step 1: Check your benefits
Use our free insurance checker (left), or call the member services number on your insurance card and ask:
- Do I have out-of-network outpatient mental health benefits?
- What is my out-of-network deductible, and how much have I met this year?
- After my deductible, what percentage do you reimburse?
- Do you reimburse sessions with associate-level counselors (LPC-Associate or LMFT-Associate)?
- Are family sessions covered? Are couples sessions covered?
Who’s eligible
Sessions with our fully licensed therapists (LPC, LMFT, LCSW) are often eligible for out-of-network reimbursement. Some insurance plans also reimburse sessions with our associate-level counselors, but please check with your plan first. Intern sessions are generally not eligible. Our interns and associates offer lower-cost sessions for families paying out of pocket.
Step 2: Save your invoices
Your invoices include the codes and provider information your insurance needs (often called a “superbill”). Our client portal will email you those superbill invoices after each session.
Step 3: Submit your claims
Submit invoices directly to your insurance company, or use a service like Reimbursify to make it easier: https://reimbursify.com/individual-page/. We receive nothing from Reimbursify; some clients simply find it helpful. Expect reimbursement to take several weeks, and keep copies of everything.
Good to know
Insurance companies require a diagnosis to process a claim, and it becomes part of your (or your child’s) insurance record. Many families are comfortable with that. Some prefer to keep counseling fully private, and paying out of pocket without filing is always an option.
Your Client Rights
In accordance with Texas law (House Bill 4224 and Section 181.105 of the Texas Health and Safety Code), the following information is provided to help consumers understand their rights and available resources.
Requesting Your Health Care Records
You have the right to request a copy of your mental health records.
To request your records, please submit a written request to your treating clinician or to the practice directly. Requests may be made via email, secure client portal, or in writing. Records will be provided in accordance with Texas law and applicable privacy regulations.
If you have questions about accessing your records, please contact our office for assistance.
Contacting the Texas Behavioral Health Executive Council (BHEC)
The Texas Behavioral Health Executive Council regulates licensed mental health professionals in Texas.
If you have questions about licensure or professional standards, you may contact BHEC directly:
Texas Behavioral Health Executive Council – Contact Us
https://bhec.texas.gov/contact
Filing a Consumer Complaint
If you wish to file a consumer complaint regarding mental health services, you may do so with the Texas Office of the Attorney General:
Office of the Attorney General – Consumer Protection
https://www.texasattorneygener
Good Faith Estimate Rights. You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 512-651-1009 ext 0