CLINIQ
Out-of-network superbillsprofile updated 4h ago
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1 hot thread in 365 days, mostly r/HealthInsurance — enough to sell Reddit Radar
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superbill therapist out of networkhow to submit superbill to insurancetherapist billing software private practiceout of network reimbursement therapyWhere it's discussed
@beshortrunultra2@NicoleLewisLCSW2@ptjobsite2@tautologer1@hxxntrr1@KissMyCarol1-
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? 1. How is the paperwork/ documentation like? 2. What is the pay schedul…
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11.4 warmreddit UMR out of network claims and ClearHealth (opens in new tab)
This is a long shot, but does anyone have experience getting out of network claims reimbursed with UMR? Long story short, I pay for therapy in full up front and then submit the superbill to UMR for ap…
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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 warmx Looking for affordable counseling but keep hitting roadblocks? (Tips from my counseling website) You’re not alone. So many people hang up or stop replying the moment they hear “We (opens in new tab)
Looking for affordable counseling but keep hitting roadblocks? (Tips from my counseling website) You’re not alone. So many people hang up or stop replying the moment they hear “We don’t take your ins…
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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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11.1 warmreddit Super bill for mental health services (opens in new tab)
I’m new to navigating health insurance. I previously had a Covered California Kaiser Silver 73 plan but never used it. I’m hoping to access quality mental health services and would like the flexibili…
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11 warmx Looking for affordable counseling but keep hitting roadblocks? (Details on my counseling website, not my mindset coaching one) You’re not alone. So many people hang up or stop rep (opens in new tab)
Looking for affordable counseling but keep hitting roadblocks? (Details on my counseling website, not my mindset coaching one) You’re not alone. So many people hang up or stop replying the moment the…
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11 warmreddit We need to fight back (opens in new tab)
CVS Health paid $0 in federal income tax on $6.57 BILLION in U.S. profits last year. In that same year, their insurance arm Aetna: \- Aggressively scrutinized and downcoded 60-minute psychotherapy s…
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11 warmx claude code success story: my company switched health insurance this year and now my therapist is out-of-network. i have out-of-network benefits but my new insurance requires you (opens in new tab)
claude code success story: my company switched health insurance this year and now my therapist is out-of-network. i have out-of-network benefits but my new insurance requires you to submit claims by …
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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 …
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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 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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10 warmreddit LPT Request: how to pay for an out of budget, out of network therapist? (opens in new tab)
Hi all! I figured this is a long shot, but figured I’d still ask. I’m in American currently living overseas and currently looking for a US based therapist to meet with (I’ve already brought up pot…
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9.4reddit Insurance and Provider both telling me the other should be reimbursing upfront costs, no idea how to go about resolving this and desperately need help. (opens in new tab)
As the title says. At the beginning of this, year my therapists office required me to start paying upfront in full, and that I would need to submit claims to my insurance after the fact. I'm not e…
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9.1x THIS IS WHAT I’LL BE SUBMITTING. It’s up to you to decide what you want and submit your own comments. Feel free to copy some of my points or not. You will definitely need to edi (opens in new tab)
THIS IS WHAT I’LL BE SUBMITTING. It’s up to you to decide what you want and submit your own comments. Feel free to copy some of my points or not. You will definitely need to edit to suit your own p…
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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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9.1reddit Wondering about possible out of network coverage for specialized therapy through Sutter HMO? (opens in new tab)
My work is in open enrollment right now and my two options are Kaiser and Sutter Large Group HMO. I’ve been in a months long, extremely frustrating back and forth with Kaiser about trying to get a me…
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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…
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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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8.4reddit 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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8.2reddit In-network therapist, COBRA retroactively reinstated, sessions were self-pay. Can I submit superbills myself? (opens in new tab)
Hi all, looking for guidance on a COBRA / mental health billing situation. I was laid off in late October and elected COBRA immediately. I paid the COBRA premiums right away, but due to administrativ…
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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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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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7.2reddit NYCE PPO out of network reimbursement (opens in new tab)
Has anyone had out of network claims processed for 45 min therapy sessions (90834) and can tell me what the reimbursement rate is? The agent claimed to not know... https://preview.redd.it/3oz6i5h1vvl…
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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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7.1reddit For those of you submitting superbills to insurance- Some checks being sent to my therapist instead of me? (opens in new tab)
i recently switched jobs and got new insurance, which my therapist is not in network. i decided that i was in a financially good enough position to be able to pay her full fee and get reimbursed throu…
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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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6.3reddit Therapist receiving reimbursement checks meant for me (opens in new tab)
i recently switched jobs and got new insurance, which my therapist is not in network with. i decided that i was in a financially good enough position to be able to pay her full fee and get reimbursed …
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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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6.2reddit ChampVA (opens in new tab)
My therapist office informed me today that I have to get a superbill and submit it to the VA to get reimbursed for each visit (means I'd pay $135 out of pocket each visit). Is this as big of a headach…
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6.2reddit Detroit therapist here: great first call, then they ghost. How are you reducing no-shows/vanishing inquiries? (opens in new tab)
Hi all, I’m a solo clinician in the Detroit area (out-of-network, self-pay with superbills). Something I’m running into a lot lately: people reach out, we schedule a free consult or even an intake, th…
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6x I'm not saying #sarahconnor was right, but... We don't share your records with anyone. Ever. If you want to share your records with your insurance company we will give you a supe (opens in new tab)
I'm not saying #sarahconnor was right, but... We don't share your records with anyone. Ever. If you want to share your records with your insurance company we will give you a superbill to file for ou…
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6x Independent practices don't need more software. They need fewer systems. When charting, scheduling, e-prescribing, billing, telehealth and the patient portal live in separate plac (opens in new tab)
Independent practices don't need more software. They need fewer systems. When charting, scheduling, e-prescribing, billing, telehealth and the patient portal live in separate places, your staff becom…
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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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6reddit Help me pls 😣 (opens in new tab)
Not sure if this is allowed, sorry if it’s not. Anthem BC is trying to run me into the ground. And after 5 months I might roll over and let them 😪😪 I had a baby in August. I have an EPO and know th…
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6reddit Seeking advice on horrible insurance situation (opens in new tab)
I see my therapist 2-3 times a week. They do not accept insurance and I submit to insurance for out of network. Ive gotten backed up on receiving my superbills from my therapist. Submitting some 5-6 m…
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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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4.3x Yanlei Ma of @HarvardChanSPH & coauthors examine billing by mental health counselors and marriage & family therapists following a 2024 policy change that authorized direct (opens in new tab)
Yanlei Ma of @HarvardChanSPH & coauthors examine billing by mental health counselors and marriage & family therapists following a 2024 policy change that authorized direct billing to fee-for-s…
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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 c…
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4.2reddit OON Billing Question — Allowed Amounts & Charging Less Than Previous Therapist (opens in new tab)
Hey fellow therapists, I’m navigating out-of-network billing through a platform (Thrizer) and could use some insight from others who have handled OON clients. Here’s the situation: * I have a clien…
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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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4x 🚨 Orthopedic Physical Therapist for Out-of-Network Office in Boston Area 💼 View job: https://t.co/XCa0qZ3dP9 📍 Weston, Massachusetts-Boston Advanced Manual Physical Therapy: Full (opens in new tab)
🚨 Orthopedic Physical Therapist for Out-of-Network Office in Boston Area 💼 View job: https://t.co/XCa0qZ3dP9 📍 Weston, Massachusetts-Boston Advanced Manual Physical Therapy: Full Time or Part Time…
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4x This is how the commercial health insurance investment bank Denial of Care Harm-for-Profit business model works: The commercial health insurance investment bank float is the cash (opens in new tab)
This is how the commercial health insurance investment bank Denial of Care Harm-for-Profit business model works: The commercial health insurance investment bank float is the cash a company holds ont…
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4x Smoother Claims. Healthier Revenue. Your practice deserves a billing partner that keeps revenue moving. MedCure RS helps healthcare providers simplify medical billing, manage deni (opens in new tab)
Smoother Claims. Healthier Revenue. Your practice deserves a billing partner that keeps revenue moving. MedCure RS helps healthcare providers simplify medical billing, manage denials, and streamline …
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4x Streamline Patient Billing with Revenue Cycle Automation #BillingCyclePlus https://t.co/Z6EWnfViTt (opens in new tab)
Streamline Patient Billing with Revenue Cycle Automation #BillingCyclePlus https://t.co/Z6EWnfViTt
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4x 🚨 Orthopedic Physical Therapist for Out-of-Network Office in Boston Area 💼 View job: https://t.co/XCa0qZ3dP9 📍 Weston, Massachusetts-Boston Advanced Manual Physical Therapy: Full (opens in new tab)
🚨 Orthopedic Physical Therapist for Out-of-Network Office in Boston Area 💼 View job: https://t.co/XCa0qZ3dP9 📍 Weston, Massachusetts-Boston Advanced Manual Physical Therapy: Full Time or Part Time…
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4x A matter reaches a billing point, but the invoice depends on someone remembering to tell accounting. The note stays in an email, billing details are entered later, and the client a (opens in new tab)
A matter reaches a billing point, but the invoice depends on someone remembering to tell accounting. The note stays in an email, billing details are entered later, and the client asks why the invoice …
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4x "Professional billing, powered up! ⚡ Cloud-based, Drummond/Surescripts certified. We do the work—you see results. Faster cash flow awaits! #CertifiedBilling #TelehealthBilling #WEB (opens in new tab)
"Professional billing, powered up! ⚡ Cloud-based, Drummond/Surescripts certified. We do the work—you see results. Faster cash flow awaits! #CertifiedBilling #TelehealthBilling #WEBeDoctor " https://t.…
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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…
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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…
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3.6reddit A few questions about OON therapy claims in NJ (opens in new tab)
Hi, my husband and I have Horizon BCBS. We are state employees and have the NJ Direct plan. He started seeing an out of network therapist and submitting the super bills via the Horizon app. He is runn…