Direct Billing FAQ
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How do I set up direct billing?
1. Ensure that the insurer is listed above on the list of approved insurers and ensure that speech-language pathologists are approved practitioners within the policy. Check policy details to clarify their coverage limits and co-pays.
2. Communicate the policy information with the clinician and complete any necessary forms. These forms must be completed, signed, and filed with the clinic before direct billing can occur.
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When will I receive a receipt for the appointment(s) directly billed?
Clients receive an account summary bi-monthly detailing payment by the insurance provider, and any overflow amount paid by the client.
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What services are submitted for direct billing?
Services where a speech-language pathologist is in attendance are covered by insurance under speech therapy.
Insurers do NOT cover unattended/missed appointments.
Future appointments may not be submitted to an insurance provider.
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My insurer provides direct billing so why was my credit card charged?
If a policy does not include full (100%) coverage, any overflow amount will be billed to the client.
For the initial consultation :
If an appointment eg. initial consultation or standard session, is scheduled using our online booking system then the clinic has been prepaid via credit card at the time of booking. The receipt will be emailed. The client may submit the invoice through self-claim with their insurance provider.
Direct Billing Decline :
If a policy does not allow for direct billing, clients will be billed upfront, and a receipt will be emailed. The client may submit the invoice through self-claim with their insurance provider.
Self-Claim FAQ
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What is submittable for reimbursement?
The insurer makes the final decision on what they will cover.
Typically, services where a speech-language pathologist is in attendance are covered by insurance under speech therapy.
Typically, unattended/missed appointments are NOT covered by insurers.
Typically, future appointments may not be submitted to an insurance provider.
Typically, block fees and annual retainers must be submitted on an appointment-bases not on a lump-sum basis.