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Purpose:

To ensure clarity and transparency regarding financial responsibilities, payment expectations, and billing procedures for all clients receiving services at NeuroBloom Psychotherapy.

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Policy Statement:

All clients are responsible for payment of services rendered, including any fees not covered by insurance. This policy outlines the clinic’s procedures regarding payment collection, insurance billing, and financial agreements.

Payment Responsibility:

1. Insurance Billing:

• The clinic will submit claims to the client’s insurance provider.

•  Clients are responsible for understanding their insurance benefits,

including deductibles, copayments, and coinsurance.

• If a claim is denied or unpaid by the insurer, the client is responsible for the full balance.

2. Self-Pay Clients:

• Clients without insurance or those choosing not to use insurance must pay the full session fee at the time of service.

• A sliding scale fee may be available for eligible clients based on financial

need.

 

3. Copays and Deductibles:

•  Copayments are due at the time of service.

•  If a deductible has not been met, the client is responsible for any portion of the session fee not covered by insurance.

 

4. Accepted Payment Methods:

• Payments may be made by cash, credit/debit card, or through the client portal.

 

5. Outstanding Balances:

•  If a client has an outstanding balance exceeding $200 services may be

placed on hold until payment arrangements are made.

• Balances over 90 days past due may be sent to collections unless a

payment plan is established.

 

6. Payment Plans:

 

• Clients experiencing financial hardship may request a payment plan,

subject to clinic approval.

• Failure to adhere to an agreed-upon payment plan may result in service

suspension.

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7. Refund Policy:

• Payments for services rendered are non-refundable.

8. Fee schedule

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