How to Bill Insurance As A Client
Our office is out of pocket and we do not work directly with insurance companies, but we want to make counseling as accessible as possible. We offer lower cost services with our interns and associate-level counselors (LMFT-A, LPC-A or LMSW). Interns and associate-level counselors are not eligible by most insurance plans for coverage. Sessions with fully licensed therapists (LMFT, LPC or LCSW), are often eligible for insurance reimbursement. Below are steps for how to check your insurance benefits and bill insurance as a client.
Using your Out-of-Network benefits can help offset the cost of therapy. We recommend the following steps to help make it easier on you.
1. Check your Benefits. You can do this by calling the number on the back of your insurance card or you can use our insurance checker. As an out-of-network practice, we have partnered with Mentaya to help our clients save money on therapy. Use our insurance checker to see if you qualify for reimbursement for our services. Please note that only our fully licensed therapists qualify for OON reimbursement and that insurance policies covers individuals (not families or couples).
2. Attend and pay for sessions and save your invoices. Invoices generated by our fully licensed therapists are considered “Superbills” or Insurance Reimbursement Receipts. You can use the information and codes on these invoices to help you with claim submissions with your insurance.
3. Submit claims to your insurance. This can be done directly with your insurance company or through a third party, for usually a minimal cost. We recommend you document everything and prepare for a wait. Our practice is registered with Reimbursify, which is an application that clients can use to make submitting claims easier and faster. Our office receives no benefit from clients using their services, but some of our clients have found that this application has been helpful to get their OON benefits. You can visit Reimbursify and file your first claim for free at: https://reimbursify.com/individual-page/
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