Insurance Claims

What a Bother! If they had a choice, most therapists would never take insurance. Filling in CMS 1500 forms is probably the single most tedious task a psychotherapist faces because it is one of those dreadful chores that is mind-numbingly boring yet

                                      requires close attention to detail. The slightest error can cause 

                                           a claim to be rejected. But, of course, the only way to find out

                                                 why the claim was rejected is to engage in an even more 

                                                      annoying chore, putting a call in to an insurer's

                                                           infuriating automatic voice response system. Most

                                                               therapists have only the vaguest idea which fields

                                                                      are mandatory and which are not, and woe

                                                                             unto he or she who guesses wrong! Then

                                                                                    there are the periodic changes to the

                                                                                              form and the various codes on 

                                                                                                    the form—ICD, CPT, POS—

                                                                                                  in late 2015 is the feared shift to the new ICD-10 codes, which are completely different than the familiar ICD-9 codes ("300.4: dysthymic disorder"). And for all your trouble, what do you get? Paltry payments that are a fraction of your standard rates. Like it or not, if you take insurance, you enslave yourself to the country's massive catatonic health care system.

Simplify: We can't change the payment you receive, but we can make the process of securing that payment less painful. All you need to do is supply us with your patient's session dates so we can automatically generate a complete and accurate claim. (For more on how we have simplified this process, see 'Billing cycle' under the 'The Process' menu.) Our software never forgets to fill in a field and never gets an insurance ID number wrong.

Deliver: We offer several delivery options for your claims. Most of our clients have us mail their claims directly to the insurer or Medicare contract provider. But if you prefer, we can also mail printed claims to you or email you PDF files that you can print on your own CMS 1500 forms. We can also file your claim electronically if you prefer through a HIPAA-compliant claims clearinghouse.

Track: In addition to creating and mailing claims to insurers, we also send you PDF copies of the claims that you can reference when needed. And if you're not the type to keep piles of printed PDF claims in a file or a cluster of PDF files somewhere on your computer, we can always provide you with copies when you need them. In addition to tracking your claims, we also keep up with the changing forms, codes, and rules that surround the CMS 1500 form, so that you don't have to.

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Example: Click on the button below to view a completed claim sample (requires Adobe Reader).

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