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UNDER CONSTRUCTION
UNDER CONSTRUCTION
UNDER CONSTRUCTION
UNDER CONSTRUCTION
UNDER CONSTRUCTION
CLAIMS
At Waring Wellness we want to provide you with the tools to make your experience with us as easy and efficient as possible. We know that getting reimbursed for services can be complicated.
Reimbursify makes submitting out-of-network claims easy.
It’s paper-free and simple to use.
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Click here for a helpful tutorial on how out-of-network reimbursement works.
Steps for OUT-OF-NETWORK CLAIMS
Follow these steps to submit an out-of-network claim with Reimbursify:
1. Superbill
Superbill
You pay your practitioner and receive a receipt (also known as a “superbill”)
2. Submit Claim
Submit Your Claim
You use our mobile app to submit a reimbursement claim to your insurance company.
3. Status Update
Status Update
We update you on the status of your claim.
4. Receive Reimbursement
You Receive a Reimbursement
You receive a reimbursement check from your insurance company (or an equivalent amount applied to your OON deductible, if applicable
REIMBURSIFY FAQs
Which insurances does Reimbursify work with?
Reimbursify works with all primary private health insurance plans including Military Tricare. It does not work with Medicare, Medicaid, DenaliKid Care or Community Care, Workers Compensation, EPO, or HMO service plans. Waring Wellness/Kristina Waring MA/CCC-SLP is not able to process and submit reimbursement claims on behalf of our patients.
How much does Reimbursify cost to use?
Your provider is a member of our Practice Plus plan and there is NO ADD ON charge for you to file a claim.
What type of treatment does it work for?
Reimbursify works with almost all outpatient claims using the CPT (Current Procedural Terminology) & ICD-10 (International Classification of Disease) coding systems. This includes claims by most speech-language pathologist, physical therapists, mental health practitioners, physicians, etc.
If you plan provides out-of-network benefits for speech or voice therapy, then Reimbusify will work their magic to help you receive the most out of your plan’s benefits. Reimbusify and Waring Wellness does not guarantee that your care will be covered by your plan.
Please contact your insurance company or refer to your plan guidelines if you have any questions regarding benefits.
What is a superbill?
A superbill is a special receipt provided to a patient by a healthcare practitioner for submitting reimbursement claims to insurance companies. Superbills contain detailed information about the patient, the practitioner, and the visit.
You will need to provide a copy of your superbill each time you submit a reimbursement claim with Reimbursify. A copy of your superbill will be available through your PtEverywhere patient portal. Download a copy and submit. It’s that easy.
This is an example of a superbill and the required information needed to file your claim.
How long does it take to process a claim?
Our digitized process gets claims delivered to insurance payers’ processing hubs within hours. While many payers will process the claims within a week or two, we do recommend allowing 4 to 6 weeks for processing since that is a time stipulated by most states.
How much money will I get back?
In most cases, to receive reimbursement for out-of-network services by a provider requires that you have a PPO insurance plan. Every plan has various levels of deductible and reimbursement rates, and the amount of money you get back will depend upon your individual plan (60%, 70%, 80%).
To learn exactly what your benefits are, you can check the online portal of your insurance company or call them directly. Alternatively, if you get your insurance through your work, you can reach out to your HR representative, who may be able to provide benefit info.
What type of treatment does it work for? Can I file multiple claims at one time?
Yes, you can! It is common for patients to see the same practitioner for the same treatment multiple times (weekly therapy sessions are common with our users).
If all of the information on your superbills is the same (same doctor, same treatment codes, same place of service, same price) except the date, all you must do is tap to select multiple dates on the “Date of Service” screen when filing a claim via our mobile app, as in this example.
Can I file claims for visits that happened several months ago?
Yes, you can. In fact, it’s common when people first learn about Reimbursify to have already visited an out-of-network provider multiple times. Most health insurance companies allow a reimbursement claim to be filed within one year from the listed date of service.
Can I submit a claim for a dependent, child or spouse/partner?
Reimbursify was designed to make filing claims for the entire family easy! You can use the app to file for yourself, a child, or a spouse (or domestic partner). Click here for instructions.
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