Insurance Reimbursement Process Overview

1) Consult your insurance brochure or call your insurance company before or after your initial visit to understand your coverage options.

2) Inform them that you are seeing an "out of network" physician for your services.

3) Request the reimbursement amount for the CPT Code (Current Procedural Terminology) associated with your visit. We can provide you with the appropriate codes to facilitate this process.

4) Inquire about the amount of your annual deductible.

5) Ask about the number of certified visits you are allowed each year under your plan.

6) After your visit, submit an invoice to your insurance company's claims department. Make sure to verify your expected insurance reimbursement and review the Explanation of Benefits (EOB). Remember, most insurance companies are required by law to either pay or deny the claim within 30 days. Feel free to call your insurance company to check on the status of your claim.

If you encounter any difficulties or if the insurance company requires further clarification regarding the CPT code for your claim, we will assist you in navigating the insurance reimbursement process, even if you're working with an out of network physician.