Submitting for Out-of-Network Reimbursement:
When submitting statements for out-of-network reimbursement, note that most insurance companies require the following information on statements:
- Diagnostic Code
- Date(s) of service
- Description of service
- CPT code
If any of these fields appear blank on your statement, please let me know so I can correct prior to your submitting to avoid delays in reimbursement.
Unfortunately, every insurance company is different and requirements for what they want on statement and/or coding structure can change without notice. If your claim is denied but you have confirmed your eligibility for out-of-network reimbursement, please contact your provider to ask for the specific reason your claim was denied and I will work with you to see if there is anything I can adjust on my end in order for you to resubmit.