CLINIQ
Out-of-network superbillsprofile updated 6h ago
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1 hot thread in 90 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
@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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11.3 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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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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10.2 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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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 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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8.4reddit 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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8.1reddit 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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7.1reddit 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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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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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 c…
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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 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 …