Fees and Billing
Initial Appointment $ 112.00
Counseling session: $ 90.00
Court ordered testing: $ 850.00
Educational testing: $
650.00
lap band / bariatric psychological screening: $ 300.00
Mental Health Resources, P.C. is an association of independent mental health professionals in private practice. The responsible party for this account is to provide complete and accurate information for billing and for filing insurance claims. It is the Responsible Party’s responsibility to provide the Administration Office with any change of information, as soon as possible, and to complete any necessary forms.
PAYMENT
is expected at the time services are rendered. This includes insurance
deductibles, co-pays or the amount not covered by insurance. A monthly billing
statement will be sent to you in regard to the status of the account and
outstanding balance. The balance is due at the time the statement is received
unless other financial arrangements are made with the administrative office.
Our office cannot legally enforce any court orders regarding payment for
services by third-parties. Therefore, you should expect to make complete
payment for all fees and charges on your account. If your account should become
over paid, a refund will be processed during the next quarter. A charge will be
assessed for appointments missed without cancellation within a period of 24
hours. These fees can be waived at the
discretion of the provider.
INSURANCE: Primary
and Secondary Insurance is billed by a billing service contracted by Mental
Health Resources, P.C. as a courtesy to our clients. Your insurance benefits
will be verified prior to your first appointment to be certain coverage is in
force and that your provider is able to bill for services under your
contract. Insurance policies are
contracts between you (or your employer) and the insurance company, therefore,
it is your responsibility to understand your insurance policy requirements and
limitations. Please take the time to verify your insurance benefits. We
cannot guarantee payment of claims.
You
are responsible for and expected to pay deductible, insured portion for
"in network" carriers or for the difference between the amount that
the "out of network" carrier pays and the amount of the charge. A
copy of the insurance card is required and you are to supply all information
necessary for billing agent to file the insurance claim.
PSYCHOLOGICAL EVALUATION OR TESTING: the charges are based on the
time for administering the tests and interpreting the test results, necessary
and appropriate interviews and preparing a report. The total cost may not be known until the
evaluation testing is completed. However, a payment on account towards the
total charges is required on or before the date of service. If a third party, such as a school system,
has agreed to pay for the evaluation, you must provide appropriate
documentation of the third party’s agreement to pay, prior to the date of
service.
COURT ORDERED EVALUATIONS:
MENTAL HEALTH RESOURCES DOES NOT FILE CLAIMS FOR COURT ORDERED EVALUATIONS or OTHER COURT RELATED EVALUATIONS THAT DO NOT MEET CRITERIA FOR MEDICAL NECISSITY.