Super Bills

Questions to ask your insurance if you want to be reimbursed for out of network services:

 

  • Do I have out-of-network coverage for mental health services provided through telehealth?

  • What is my yearly deductible? Has it been met or how much more until my deductible is met?

  • How many sessions per year does my plan cover?

  • How much does my insurance plan reimburse for an out-of-network provider for CPT codes 90834 and 90837?* 

  • Does my insurance plan cover Z codes for couples therapy*?

  • What is my co-payment (if applicable)?

  • Do I need prior authorization?

  • Do I need approval from my primary care provider? 

  • What is the home and mailing address on my file? (important to ensure checks are issued to the correct address)

  • How do I submit a super bill? Is there an online portal or do I have to mail or fax a copy?

  • What is the time limit to submit a super bill?