Filing out of network with SP?
AnsweredHas anyone filed an out of network courtesy filing for their clients? I do not accept insurance but I am trying to do a courtesy filing. Can this be done through simple practice?
Thanks!
Lucy
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Hi Lucy, please refer to this Help Center guide for more information on out-of-network claim filing: https://support.simplepractice.com/hc/en-us/articles/209755893-Out-of-network-electronic-claim-filing
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I only accept Bcbs but I file out of network for several other insurance companies. It is easy to file. I set my rate, the client pays the difference between their out of network payment and the established rate. At least the person gets to use some of their insurance benefit. People appreciate the effort I think!
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Hi Sanjeev, the best way to check out-of-network benefits for patients is to give their insurance payer a call. We have a great webinar on checking benefits here: https://www.simplepractice.com/blog/verification-of-benefits-ask-a-biller-video-3/
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I also submit billing for out of network claims. I use various methods. One company works best sending paper claims, another I use Availity (free). I haven't tried SP for out of network billing,
the only insurance I am in-network with requires I go to their website so it's easy enough, I then manually enter the insurance payment in SP. After several trials I think I've figured out all the places on SP to change the date on so I can have a clean record. Regardless of payment date I enter the payment received on the date of service.
Still not used to all the entries in the billing section of SP. Right now I see 4, the service date, the invoice date the payment date and invoice payment date.
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Hi Kim - If you're filing courtesy claims and still want the insurance payments to be made out to you, then make the client an Insurance Pay client and mark all these billed sessions insurance pay. You'll want to then add Insurance Payments manually, or enroll in Payment Reports through SimplePractice.
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