Insurance policies pay per unit of treatment, per modality. For this reason, the fee schedule for insurance is calculated differently, taking into consideration the billing process, set-up fees, and the time it takes for a follow-up to make sure the claim is paid correctly. Lastly, the codes of who covers what is different across the board make insurance billing a hand-holding process.

For out-of-network policies, there are two options. I can give you a SUPERBILL similar to a receipt for services, allowing you, the patient, to submit to insurance for possible reimbursement. Superbills include: procedure codes (CPT) and diagnosis codes (ICD) codes in 15-minute increments. Every insurance company has its own ‘claim form’ that must be used. I am happy to walk you through the process.

The second option is billing for Out-of-network policies. Out-of-network policies generally have a much higher deductible and work on a coinsurance (verses copayment basis - % of). Depending on the details of the policy, it will be determined upon receiving your insurance verification: Out-of-Network Deductible information, number of visits, and copay/coinsurance amounts ONCE your out-of-network deductible has been met.

Need help? If you are not sure how all this “insurance stuff” works, please send me a text or voicemail, and I will be happy to set up a time to explain the process; We will be able to determine the details of your policy, and if billing your insurance for treatment makes sense. I do not currently accept Medicare. *Any services or procedures not covered by insurance are the responsibility of the patient.*

In order for my billing company to verify your acupuncture insurance benefits, we will need the following: Photo ID, physical address, and a copy of your medical insurance card front and back. You can either email or text this info along with your contact information. Verification may take up to 24 hours.

*Any services or procedures not covered by insurance are the responsibility of the patient.*