Insurance, without the headaches
How Insurance at Clarity Therapy Works
You’ve got enough stress,
OUR JOB IS TO TAKE SOME AWAY
We’ve taken the guesswork out of insurance filing + billing.
With courtesy claims submission, we help you understand your out-of-network insurance benefits. Then, you pay for therapy and we file claims for you. You’ll still get reimbursed, now just without as many headaches.
We use two unique portals to save you time and energy.
Simple Practice conveniently allows you to complete and update general paperwork and payment processing information.
Nirvana streamlines courtesy claims submission, tracking claims, and keeping your insurance insurance information up-to-date.
5 steps to make the process easy
Complete your paperwork on Simple Practice
Learn how courtesy claims submission works
Look up and confirm your out-of-network benefits
Register on Nirvana to have your claims submitted for you
Keep us in the loop and update your information as you go
1. Complete your paperwork on Simple Practice (required)
Before you begin therapy, you’ll receive an email from Simple Practice. The subject of the email will be “Client Portal” and will be sent from your therapist @simplepractice.com. Your client portal will have all of the intake paperwork that needs to be completed before your first session.
If you’re having trouble accessing Simple Practice, please reach out to [email protected] for assistance.
2. Learn how courtesy claims submission works with out-of-network benefits
To get acquainted with the process, watch our short explainer video:
3. Look up and confirm your out-of-network benefits
Going to therapy means making an important investment in your emotional health. Therapy rates vary based on the therapist and session length. Cost should never get in the way of therapy, and many of our therapists offer reduced rates on a sliding scale.
Unsure if you’re eligible for insurance reimbursement? Dealing with insurance companies can be a confusing and frustrating experience. You can use the Insurance Benefits Lookup Tool to check your out-of-network benefits. This tool will give you an initial estimate of what you may expect to pay and be reimbursed for therapy.
Please confirm the estimated reimbursement amount with your insurance company as they will have the most up-to-date information.
Questions to ask your insurance representative:
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“Does my plan include out-of-network benefits for mental health care? Specifically, for outpatient psychotherapy?”
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“Do I have a deductible for out-of-network mental health services? If yes, what is the remaining amount I will have to pay before my health plan starts to reimburse me for fees that I pay out-of-pocket?”
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“What is the maximum amount my plan will reimburse for mental health service code 90837 with a Psychotherapist?” If the rep does not provide a clear answer, ask: “What is the maximum allowed amount for mental health service code 90837 with a psychotherapist, and what percentage of the maximum allowed amount will my plan pay?” (This percentage of the maximum allowed amount is the amount you would receive as reimbursement.)
4. Register on Nirvana to have your claims submitted so that you can get reimbursed by your insurance
Once you’ve confirmed your out-of-network benefits, your therapist will enroll you in courtesy claims submission with Nirvana. You will then be able to log into your Nirvana Client Portal to track your claims. Nirvana will submit your claims to your insurance provider after each session.
Depending on what you’ve set up with your insurance company, you may receive your reimbursement by ACH deposit or check. This usually takes between 2-4 weeks. This will occur until your plan rolls over and your deductible resets. Depending on your plan, this usually happens in January or July, or when you start a new policy.
5. Keep us in the loop and update your information as you go
If your insurance or credit card information changes or expires, please make sure to update your information by emailing [email protected] or calling 917-847-7556.
Still have questions?
Check out our FAQ and insurance term glossary for more helpful information. If you have a question that you don’t see covered, don’t hesitate to reach out.
