Filing Your Insurance Claim

The Resilient Helix team members do not directly bill insurance companies. If you have a PPO plan and would like to use your Out of Network benefits for services, please review these step-by-step instructions. Clients pay for services at each session (unless TriCare Standard). If requested, we can provide you with a superbill showing each session and date.

To file a claim with your insurance company:

1. Obtain a copy of your insurance company's claim form.
2. Fully complete your portion of the form.
3. Attach superbills to the claim form.
4. Mail directly to your insurance company.

Confirming Coverage for Mental Health Counseling

To determine if your insurance will cover your counseling:

1. Look up the information in your insurance benefits manual/website, or
2. Call the company directly to ask them. The phone number will be on your insurance card, usually on the back.

Mental health services are sometimes covered at a different rate than medical services. Rates also differ for Outpatient (seen in an office like mine) and Inpatient (admitted to a hospital program).

If your insurance plan is an HMO you can only see therapists on their network list. They will not cover therapists outside of their network. If your insurance plan is a PPO you can see therapists who are not on their network list, but coverage will be at a lower rate.

You will want to record the following information in case you have trouble getting reimbursement in the future:

• Name of Insurance Customer Service Rep you spoke to:
• Date & time of call:
• Deductible for Policy (amount of bills you must pay before your insurance provides coverage):
• Amount insurance will pay each visit for mental health services:
• Maximum visits allowed per calendar year for mental health services:
• Maximum amount paid per calendar year for mental health services:
• Ask if they cover the DSM diagnosis code XXXX (your therapist may provide you with a  preliminary dx code):
• Ask the insurance company to send you their claim form or print it yourself from their website.
• Get the mailing address since you will be submitting this claim form to the insurance company.
• Claim form - fill out the patient information. Attach the superbills to the middle portion. You attach 4 or 5 superbills to the claim form and mail it to the insurance company.