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Yes, we make an initial insurance verification before the first appointment. Please note, that insurance verifications can be inaccurate for certain insurance policies. We do our best to obtain accurate information and we will always double-check this information against the Explanation of Benefits (EOB) that we receive after the service has been provided and the claim adjudicated by the insurance company.
Not necessarily. When we run an insurance verification we can only go based on the information provided at the time the verification is completed. We do not have access to immediate updates on deductibles. You may be prompted to pay the full amount for your appointment and when we receive the EOB, if it says you had met your deductible, we will refund you any money owed.
Generally, yes if it is a commercial or Medicare policy. We do not accept Medicaid.
An EOB is a document that we receive from your insurance company that tells us how they adjudicated/processed your claim. It tells us what the insurance will pay on the claim and what, if any, payment responsibility is yours. If an EOB shows that you owe more or less than we previously charged you, we will make adjustments to your account once we receive the EOB.
A COB is sometimes required by an insurance company if they believe you have more than one insurance policy. A COB will confirm your coverage and tell them which policy is primary. If you are requested to complete a COB, either by us or your insurance company, you will be required to do this to prevent claim denials. Contact the number on the back of your insurance card in order to complete a COB. Failure to complete a requested COB could result in denied claims that you will be responsible for paying.
No, our policy is that your payment/co-payment/co-insurance is due at time of service. For in-office appointments, you will pay when you check in. For telehealth visits, you will be prompted to make the payment before the telehealth session will begin.
Our Electronic Medical Record, Valant, will not subtract a credit from the amount owed for a telehealth appointment unless the credit is equal to or greater than the amount owed for the appointment. For example, if you have a $10 credit, but a $25 copay you will still be prompted to pay the $25. You may call our office to request a refund of any credit amount showing in your MYIO patient portal.
Our policy is that full payment is due at time of service. If you cannot make your payment, please call our office ahead of time to discuss payment arrangements. Please do not wait until the time of your appointment to request adjustments.
Please call the office to speak with someone in billing. Our insurance verifications do not always provide specific details for mental health visits. If you have proof that your coverage is different from what our system is showing us, we will make adjustments accordingly. Otherwise, we must rely on the initial eligibility verifications that we run and then on the EOB’s that we receive.
Our system automatically processes credit card payments to cards on file once the appointments are recorded in our system. We make every attempt for this to happen on the date of service, but sometimes there are delays with the appointments being recorded and this will result in charges happening on days you are not seen. The other reason could be that we received an EOB that showed you owe more than we initially charged you, so we ran your card on file for the balance due.
No, we are unable to call people before running payments. However, we do try to contact people if we see an unexpectedly large balance due.
How much does a session cost?
Your out-of-pocket costs will depend on your insurance. During your first appointment, our office staff will verify your benefits and inform you of your co-pay or co-insurance amounts.
Self Pay Rates
Therapy Services
*Indicates services/fees that are not covered by insurance
| Service Description | Master’s Level Therapist (LCSW, LMFT, LPC) | Licensed Clinical Psychologist |
| No-Show/Late Cancellation* (Less than 24 hours’ notice) | $100.00 | $100.00 |
| Group Therapy* No Show/Late Cancellation (Less than 24 hours’ notice) | $35.00 | $35.00 |
| Intake Assessment (90791) | $180.00 | $250.00 |
| Individual Therapy (90832, 16-37 min) | $82.50 | $110.00 |
| Individual Therapy (90834, 38-52 min) | $123.75 | $165.00 |
| Individual/Couples/Family Therapy (90837, 90846, 90847, 53-60 min) | $165.00 | $220.00 |
| Group Therapy (90853) | $60.00 | $60.00 |
| Psychological Testing (per hour- includes administration, scoring, report writing) | N/A | $200.00 |
| Phone call 30 min* | $82.50 | $110.00 |
| Phone call 45 min* | $123.75 | $165.00 |
| Phone call 60 min* | $165.00 | $220.00 |
| Court appearance (per hour)* | $300.00 | $300.00 |
| Forms/Letters/Report writing* (Per 15 min increment) | $41.25 | $50.00 |
| DBT Program Fee* | $250.00 | $250.00 |
Self Pay Rates
Psychiatry Services
*Indicates services/fees that are not covered by insurance
| CPT Billing Code / Description | PMHNP |
| No-Show/Late Cancellation* (Less than 24 hours’ notice) | $100.00 |
| Group Therapy* No Show/Late Cancellation (Less than 24 hours’ notice) | $35.00 |
| Initial Psychiatric Intake: (90792/99205) | $275.00 |
| Psychiatric Follow-Up Appointment: (99213) | $90.00 |
| Psychiatric Follow-Up Appointment: (99214) | $135.00 |
| Psychiatric Follow-Up Appointment: (99215) | $180.00 |
| Psychiatric Therapy Add-On: (90833) | $115.00 |
| Psychiatric Therapy Add-On: (90836) | $135.00 |
| Psychiatric Therapy Add-On: (90838) | $178.00 |
| Group Therapy: (90853) | $60.00 |
| Phone call 30 min* | $100.00 |
| Phone call 45 min* | $150.00 |
| Phone call 60 min* | $200.00 |
| Court appearance (per hour)* | $350.00 |
| Letter/Report writing* Per 15 min increment | $50.00 |
| Medication refills between appointments* | $25.00 |
What insurance do you accept?
We accept most major insurance plans, though coverage may vary by provider. Please note that we do NOT accept any Medicaid plans.
Generally, we accept:
- Anthem/Beacon/Carelon
- Aetna
- Cigna/Evernorth (for medication management services ONLY)
- Humana (Commercial & Medicare)
- Humana Military/Tricare
- Optum/United Healthcare/United Behavioral Health
- Medicare
- Sentara