Not auto-charge a client for sessions denied by insurance
Answered
Is is possible to not automatically charge cards for sessions that are denied? I would like to investigate why a claim is denied before the client's card on file is charged the full insurance rate.
We still want to use autopay for the majority of our clients. The hard part is that we don't know ahead of time which clients may have denied claims.
Thank you!
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I am having the same issue. I have one client in particular that has been charged my full rate for two sessions after the claim was denied. This is a financial burden for my client. Although I did reimbursement my client, I would like to know how to avoid this in the future.
THANK YOU!
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Hi Gillian,
I, too, have this issue. Closing the barn door after the horse has left is not a good way of doing business. In my case, a client whose insurance had paid about 40+ sessions suddenly decided (retroactively) that all of those sessions were paid in error so all 40+ sessions were retroactively denied and the client's credit card was charged thousands of dollars. That should not have happened. So I too would like to see how SP can PREVENT this from happening and not have it be something that we have to fix. Thanks.
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Hi Jennifer, thank you for this feedback. I'm sorry to hear that this situation happened. We're always listening to our customers to learn more about how we can improve SimplePractice - the best place for ideas and suggestions for SimplePractice is our Ideas board at SimplePractice.uservoice.com.
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Hello- Could you please remedy this issue. I have a client who was charged $530 by Simple Practice Auto Pay after insurance claim was denied. The insurance claim was denied while still under investigation between Simple Practice Clearinghouse and BCBS EDI. I reimbursed the client immediately $530 but it cost me $15 processing fee. I would like Simple Practice to please reimburse me this processing amount. And please fix this issue of autobilling client's when their insurance claims are denied. It looks like it was brought to your attention over a year ago. Please help us.
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We have the same issue. Lucky the massive charge was noticed at the end of day summary. Just a few hours before the charged was to be processed we turned auto pay off on the client and averted the crisis. This was fortunate because this was a problem on the insurance side and the client would have maxed out their credit card causing other bills to go into default.
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Because of this issue, I have disabled auto pay entirely. There have been too many instances where the billing issue was either my or the payer's fault--not the client's, many of whom can ill-afford a sudden $500-$1000 charge, especially when it may have been me that omitted the telehealth modifier for a last minute, "I've been exposed to COVID" location change. So for me, auto pay is a joyless feature that I pay for and refuse to use.
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