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Using Your Out-of-Network Benefits

I require payment through the patient portal at the time of services rendered. You are then able to download your superbill/invoices through the patient portal in order to submit claims for out-of-network reimbursement.

After meeting your plan's deductible, you will usually be reimbursed for a percentage (often 60-80%) of the maximum allowed fee for an outpatient visit. To learn more about your specific plan, call the member services line and request to speak with a representative about the following:

  • What your out-of-network deductible is, and how much of this deductible has already been met

  • How much your health insurance plan might reimburse you for my most commonly used CPT codes:

    • 99205 for an initial outpatient evaluation

    • 99213 for medication management + 90836 for psychotherapy

  • The process for submitting your claims​

Please reach out if you have any questions or concerns about this process.

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