THE CLINIC

Chelsea Office

116 West 23rd Street, 5th Floor

New York, NY 10011

Email: rross@rosssextherapy.com

Tel: (917) 756-5167

CONTACT

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© 2020 by Rebecca Ross Psychotherapy.

Services

INSURANCE

I am an out-of-network provider. 

I can provide monthly invoices for you to submit to your insurance company for “out-of-network” reimbursement.

To find out if your insurance accepts out-of-network provider coverage, here are some tips and suggestions on the questions to ask to clarify your coverage when you call your insurance carrier.

Information you will need when calling the insurance company:

  • Full name

  • Insurance ID#

  • DOB (Date of Birth)

  • Address on file with insurance company

  • CPT Codes – This is the coding insurance companies use to recognize the services rendered by the provider. Some insurance companies only reimburse for 45 minute appointments while others will reimburse for the full 60 minutes. I have listed all possible codes used below:

    • 90827 – 60 minute psychotherapy session

    • 90834 – 45 minute psychotherapy session

    • 90847 – 60 minute family psychotherapy, patient present

      • This is the code for couples’s and family therapy
         

You can confirm what your benefits are, what the deductible is, and whether there are any limits on behavioral health.

IMPORTANT NOTE about GHI. So far, GHI is the only provider I’ve encountered who reimburses ONLY for therapy performed by a psychiatrist, psychologist or LCSW-R for out-of-network benefits. I only have the designation of LCSW, since the R designation is only used by GHI. This is confusing, because all other insurance companies will cover all the licenses. GHI is very restrictive and sometimes the people on the phone do not give this information. It is possible that other carriers will become more restrictive in coming months, so it is always good to check and see what your current reimbursement policy is.