CLINIQ
Out-of-network superbillsprofile updated 8h ago
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2 hot threads in 365 days, mostly r/HealthInsurance — enough to sell Reddit Radar
Queries
superbill therapist out of networkhow to submit superbill to insurancetherapist billing software private practiceout of network reimbursement therapyWhere it's discussed
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13.3 hotreddit Worker's comp cases (opens in new tab)
Hi all, for those who has taken worker's comp cases, I am wondering how that works out compared to typical insurance coverage? How is the paperwork/ documentation like? What is the pay schedule lik…
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13 hotreddit NYC therapist + psychiatrist who are actually IN-NETWORK with Anthem BCBS PPO? (opens in new tab)
Looking for recommendations for both a therapist and psychiatrist in NYC who are genuinely in-network with Anthem BCBS PPO. I know, I know...this has already been asked many times and I've spent ove…
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11.3 warmreddit COBRA retroactive reimbursement with regular EXPENSIVE healthcare costs (opens in new tab)
My husband was laid off at the end of last month, and we will be enrolling in COBRA, but as of now we have no active health insurance plan. I have some health conditions that require expensive medicat…
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11.1 warmreddit Help with Headway (opens in new tab)
Hey everyone!. I am moving clients to Headway from a private practice. However, Im not sure when I superbill, how much I should charge clients for a ssion. I have a few BCBS PPO, which work well. But …
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11.1 warmreddit Why is every good therapist/psychiatrist is going private pay? Is OON feasible long term or do you guys advice to go with the best within in network? (opens in new tab)
Found a good therapist finally who i matched with but she went totally private recently. How are you guys managing mental health care? I have never worked with out of network, i assume reimbursement…
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11 warmreddit Can fully licensed OT/SLP providers bill under an enrolled supervising therapist while awaiting insurance credentialing? (opens in new tab)
Hey everyone! Happy to be here and hoping someone can offer some guidance! I manage a small pediatric therapy clinic, and navigating insurance credentialing has been one of our biggest frustrations. …
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11 warmreddit Imagine360 miscalculating allowable claim limit and underpaying claims ??? (opens in new tab)
Sorry in advance for the long story…in summary: has anyone else been underpaid by imagine360 for a claim?? I would encourage anyone to double check their math on the “allowable claim limits”… —- I h…
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10.9 warmreddit Starting my own practice in September. What software did you keep paying for after the first few months? (opens in new tab)
I'm leaving a 14-attorney firm and going solo in September, and I'm starting to realize how much software and support I've never had to think about because somebody else handled it. Research is paid …
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10.6 warmreddit Has anyone else had Blue Cross Blue Shield lower their reimbursement rate? (opens in new tab)
Hello hello, I'm fairly new to both reddit and this community, but I'm grateful a space exists where therapists can talk about the good, the bad, and the funny parts of this job with other people who…
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10.4 warmreddit cost of PF Physical Therapy (opens in new tab)
I am exploring going to a Pelvic Floor Physical Therapist, but the clinics in my area are super expensive. Perusing this sub, it seems a lot of you have gone to PT, specifically PFPT. The clinics I've…
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10.2 warmreddit Why being a therapist in private practice is worth it!!! (opens in new tab)
**Why I still love working in mental health after all these years** I've been thinking lately about how much my job has changed over the years. I started out wanting to be a therapist and help peopl…
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10 warmreddit Reccomendation for Child/Tween/Teen therapists to support children going through a rough divorce? (opens in new tab)
Hi all! I am trying to help my friend's family who is going through divorce right now. She has 2 kids, a boy (12) and a girl (10), and their insurance in Anthem (I know it's a long shot and they will …
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10 warmreddit Aetna and virtual therapy for a minor, does the in network list mean anything (opens in new tab)
Aetna PPO. The provider search gives me 200 results for therapy within 25 miles, and when I call them the ones who answer either dont see children or arent taking anyone. If I go with one of the onli…
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10 warmreddit Is my therapist scamming me? (opens in new tab)
(updated below) First of all I am in therapy partly for trust issues and paranoia with women. So keep that in mind. I have Anthem bronze pathway epo in California. (I just chose the cheapest possibl…
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9.1reddit In network with insurance but out of network with local BCBS? (opens in new tab)
I’ll try to keep this short, but I started telehealth therapy recently. I have Regence BCBS but live in Colorado. The local BCBS is anthem. The place I’m receiving therapy appears to be in network wit…
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9reddit Clinician to expert network (opens in new tab)
PT → GLG Associate: Is the pivot worth it? As a Doctor of Physical Therapy, I've treated vestibular and Parkinson's patients, run a remote monitoring program, and mentored DPT students. I love patien…
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9reddit Clinician to expert network (opens in new tab)
PT → GLG Associate: Is the pivot worth it? As a Doctor of Physical Therapy, I've treated vestibular and Parkinson's patients, run a remote monitoring program, and mentored DPT students. I love patien…
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9reddit Worth it to see a therapist who is a better fit but doesn't take my insurance, rather than a less ideal one that does accept it? (opens in new tab)
Hey all, I've never done therapy before so am pretty inexperienced with the whole process. I've been doing some free consults (specifically for sex therapy, so quite sensitive especially for someone w…
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9reddit How to get a competent human to resolve a claims issue at UHC/Optum? (opens in new tab)
I’d been seeing the same mental health provider for months. A few months into treatment we realized I had not properly established coordination of benefits with my primary insurer, which I promptly di…
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9reddit Charged $350 for medical abortion at a "fully bulk-billed" clinic – bank statement shows doctor's name, receipt says "private (no rebate)"? (opens in new tab)
Hey everyone, I'm a bit confused and stressed about a medical billing issue. I went to a clinic that advertises itself as a "fully bulk-billed clinic" for a medical abortion. I was charged $350 j…
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8.8reddit Private Pay? (opens in new tab)
Hi all! Curious to know about therapists' experience being self-pay. I am accepting insurance and would like to do both if possible. I understand the accessibility part and all and want to make sure …
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8.6reddit Question about being charged coinsurance after deductible / max out of pocket reached? (opens in new tab)
I was recently diagnosed with CIDP and started IVIG therapy. Which is working great for me. It was pre-approved by my insurance. The doctor's office showed it was supposed to be covered at 100%. M…
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8.6reddit How to bill out of network insurance? (opens in new tab)
Hi all, An older patient asked if I could take his insurance. It's Aetna medicare PPO. I have an NPI, but am currently out of network for all providers. Is there a way for me to submit a claim to …
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8.6reddit Out of Network Cost Calculations (opens in new tab)
Apologies if this seems like basic stuff, but I and my family have always been relatively healthy and have never really had deal with insurance outside of routine visits/procedures and have never had …
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8.5reddit How are you getting clients from the 'reaching out' phase to the 'they're on the schedule' phase? I haven't had even one client actually get on my schedule since I started working in private practice! (opens in new tab)
I recently started my own private practice and I'm running into a very weird issue that I've never experienced before. I've been getting a fairly low but consistent stream of contacts from prospective…
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8.4reddit UHC behavioral health claims: being told I must fax/mail docs for EVERY claim? Is there really no electronic option? (opens in new tab)
Hoping someone here has dealt with something similar because I'm losing my mind. I have Anthem through my employer as my primary insurance and UHC through my spouse as secondary. My therapist is out…
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8.2reddit BCBS of TN, Superbills (opens in new tab)
Does anyone know if you can submit super-bills to BCBS from an out of network provider and get reimbursed? I have a PPO plan and my therapist does not bill insurance but does provide super-bills
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8.1reddit Another anthem claim issue (opens in new tab)
Doc says they went out of network with Anthem in Oct 2025 and Anthem didn’t process it until Feb 2025, so they got double paid by me and insurance and will only refund me what insurance paid them, is …
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8reddit Out-of-network therapy and superbills, explained simply (opens in new tab)
Insurance and therapy is confusing, so here is a plain-English version of one part of it. Many private practices (ours included) are 'out-of-network'. That means: - You pay the practice directly. …
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8reddit PGT-A Insurance Coverage (opens in new tab)
Sharing here for anyone who is new to this and very confused!!! I have Anthem Blue Cross/PPO in California which fully covers IVF under SB 729. I'm about to go through the egg retrieval process and th…
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8reddit Mental health provider says I owe $1,206 after never submitting claims to insurance. What should I do? (Alabama) (opens in new tab)
I’m going to attach screenshots of my email conversation with the provider’s CFO, so I won’t repeat everything here. Basically, I received a $1,206 bill for mental health visits that I was never told …
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8reddit Mental health provider says I owe $1,206 after never submitting claims to insurance. What should I do? (Alabama) (opens in new tab)
I’m going to attach screenshots of my email conversation with the provider’s CFO, so I won’t repeat everything here. Basically, I received a $1,206 bill for mental health visits that I was never told …
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8reddit Bask Health- What Is a Superbill? A Guide for Cash-Pay Telehealth Brands (opens in new tab)
A superbill is an itemized receipt from a healthcare provider that lists the services a patient received, the diagnosis and procedure codes, and what the patient paid. Patients who pay out of pocket s…
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8reddit Student Health Insurance: thoughts? (opens in new tab)
How is the new Aetna student health insurance plan, compared to Wellfleet? Anyone have experience getting reimbursements for out-of-network therapy? Do they cover based on what the therapist charges o…
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8reddit State employee health insurance sucks actually (opens in new tab)
All health insurance sucks if you actually need to use it, tbh... but this is beyond the pale. I became a state employee this year and rely on my out of network reimbursement for therapy, which means …
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8reddit IPL and insurance reimbursement (opens in new tab)
Has anyone had success with getting partial reimbursement from their insurance by submitting a superbill or other document? Since it's not a covered treatment I'm assuming the answer will be no but I …
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8reddit Is it typical to charge for receipts or a superbill? (opens in new tab)
I have been seeing my therapist for years and pay out-of-pocket, as she does not accept insurance. I recently learned that I can submit receipts or a superbill to be reimbursed, going up to 2 years ba…
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7.7reddit Therapy Sessions? (opens in new tab)
I have been in therapy for a couple years now for childhood trauma. We are still working on that but now my basis is working on CBT modalities now that I’ve been diagnosed with GAD (anxiety). The ther…
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7.1reddit Private Practice - everyone is taking a bite out of my earnings (opens in new tab)
Been in private practice for 25 years. Used to be I’d see a patient, send them a bill, send half to the taxman, a tiny bit for room rental and spend the rest. Not only have private practice fees p…
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6.4reddit Are providers obligated to bill secondary insurance if they are in-network? (opens in new tab)
I've been seeing this provider I really like since February and all had been going well. I started a new job and therefore new primary insurance— it was my own oversight, I didn't realize that new ins…
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6.2reddit Self Submitting Claims — Help (opens in new tab)
I am under 26, so I am covered under my parent’s insurance. I have double coverage through my dads plan (UHC) and my moms plan (BCBS, specifically Blue Shield of California). UHC is my primary, BCBS i…
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6.2reddit Having to seek out of network physical therapy- Blue Shield California PERS Platinum PPO (opens in new tab)
Had a difficult appointment with my gynecologist a few days ago and I have been diagnosed with dyspareunia(pain during sex) and vaginismus(overly tight vaginal canal). She gave me a referral for physi…
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6.2reddit Is pelvic floor PT always out of network postpartum? (opens in new tab)
My OB referred me to pelvic floor PT postpartum because I have both pelvic floor issues and diastasis recti. She mentioned they have a PT in-office that focuses on pelvic floor, but she specifically w…
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6reddit Collective Health Persecution of Private Therapy (opens in new tab)
Has Collective Health required your therapist to submit a W9 form mid-way through the year? If yes, did Collective Health use it to deny future claims? My situation: Providence Collective Health has…
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6reddit Virtual Therapy Sessions (opens in new tab)
Hi! I’m Tori :) I’m a therapist based in Raleigh with current Telehealth openings for anyone in NC! If you might be interested, or know someone who might, please feel free to pass along my informatio…
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6reddit Firm Billing Practices: Is it possible for a partner to bill 27.5 hours in a day? If you're in court for 8 hours on two matters, can you bill 8 hours on each (16 in total)? Just wondering if what I'm seeing is legal or not. (opens in new tab)
Firm Billing Practices: Is it possible for a partner to bill 27.5 hours in a day? If you're in court for 8 hours on two matters, can you bill 8 hours on each (16 in total)? Just wondering if what I'm …
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6reddit Made a how-to guide for therapy reimbursement with Blue Shield PPO (opens in new tab)
Hi ADHDers! For anyone with PPO insurance seeking therapy: here's a community resource guide about how to access therapy through Blue Shield CA (including in-network and getting reimbursed for out-of-…
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6reddit Made a how-to guide for therapy reimbursement with Blue Shield PPO (opens in new tab)
Hi AuDHDD women! For anyone with PPO insurance seeking therapy: here's a community resource guide about how to access therapy through Blue Shield CA (including in-network and getting reimbursed for ou…
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6reddit Autism evaluation covered by insurance, what is actually reimbursable, what isn't, and how the superbill process works (opens in new tab)
Insurance coverage for autism evaluation is confusing and the information online is often wrong in ways that either overstate coverage or lead people to assume nothing is covered. Here is an accurate …
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6reddit Notes in private practice (opens in new tab)
I am a solo private practice therapist and provide superbills to clients so I understand technically I could be audited but the chances are fairly low and what I provide is at my discretion. With tha…
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5.5reddit I’m a OON clinician, my client told me to contact her insurance, my boss told me we don’t do that 😵💫🫠🫥😬 (opens in new tab)
I am not paneled with any insurance companies, but I do provide superbills to clients who want to submit them for reimbursement. I have had clients report that they got some reimbursements and others …
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4.5reddit Blue Shield of California but I live in Massachusetts and have trouble with OON claims, mainly. (opens in new tab)
I work remotely for a California employer and have Blue Shield of California insurance, but I live in Massachusetts. I submit monthly out-of-network mental-health claims for a Massachusetts provider. …
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4.3reddit New mental health resource in the Twin Cities (opens in new tab)
Hey Twin Cities Geeks! Sharing this because navigating mental health care, and especially psychological testing, can be weirdly complicated. I’m one of the owners of Ready Psych Go, a newer psycholog…
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4.3reddit What US insurers actually pay for a psychotherapy session — crowd-sourced, by CPT code, payer, platform, and state [JSON] (opens in new tab)
[https://therapistrates.org\](https://therapistrates.org) tracks what insurers and platforms (Headway, Alma, Rula, Grow Therapy, etc.) actually reimburse for psychotherapy sessions. These rates are co…
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4.1reddit $1.5K+ Reimbursement outstanding for MONTHS (opens in new tab)
I have been waiting for months for over $1.5k of reimbursement from my previous therapist. She successfully filed the claim and it was approved in January of 2026. They have sent her two checks now t…
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4reddit Buyout potential (opens in new tab)
Big Pharma has held off on acquiring Compass Pathways primarily because major suitors are waiting for complete regulatory and operational clarity before committing billions of dollars. Interventional …
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4reddit Bask Health - What a Letter of Medical Necessity Can (and Can't) Unlock (opens in new tab)
A letter of medical necessity (LMN) is a written statement from a licensed provider explaining why a patient needs a specific treatment, product, or service to diagnose, treat, or prevent a medical co…
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4reddit Closing private practice (opens in new tab)
Hi therapists. I’m 28 years old and have had my LCSW for about two years now. I opened my private practice at 26, just a few weeks after obtaining my LCSW. I initially ran it on the side while working…
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4reddit The Nation-State of New Crossroads Healthcare System & Coverage - Germany's Solidarity, Singapore's Discipline (opens in new tab)
New Crossroads Healthcare Premiums & Coverage Act of 2025: Draft 1.0 Draft: 1.0 | Date: September 3, 2026 Author: Thunderfish2 Note on figures. Illustrative projections from a 2025 base; the design…
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4reddit NJ's Mental Health Workers Are Going Broke—While the State Talks About Crisis (opens in new tab)
New Jersey keeps saying we have a mental health crisis. We've funded 988, built crisis centers, launched mobile response teams. But here's what no one's saying: the therapists, counselors, and social …
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3.8reddit Vertical integration of services and the dramatic changes occurring in our field (opens in new tab)
This was posted in a mental health advocacy group and the author said people could share. There is an organization fighting this called Mental Health Insurance Reform Task Force and is active in …
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3.6reddit I will never use Gennev again (opens in new tab)
I wanted to share my experience with Gennev because I wish I had known this before booking. When I requested my appointment, the website indicated that my insurance was accepted. Before the appointme…