I am an in-network provider for Prevea 360, employees of Advocate Aurora, and veterans using community care.
I am an out of network provider for all other insurance companies. Many insurance companies offer out of network benefits, which can be very useful when choosing a specialized therapy service.
If you choose to use out of network benefits, you will pay directly for services, and I will provide you with a statement to submit to insurance for reimbursement.
Out of Network FAQs for Clients to Insurance:
1. What is the out of network reimbursement rate (what insurance will pay you) for any of the counseling codes / levels of service listed below? (Please note that not all insurance companies cover all CPT codes).
2. How do you submit your receipt (Superbill statement) for reimbursement?
3. How long will reimbursement take?
4. How far do you backdate for reimbursement? (Backdating varies across insurances.)
The CPT codes and fees are as follows:
| 90791 (Intake) | $255 |
| 90837 (60 minute session) | $205 |
| 90834 (45 minute session) | $155 |
| 90832 (30 minute session) | $105 |
| 90846 (Family therapy without patient) | $205 |
| 90847 (Family therapy with patient) | $205 |
*These fees apply for both tele-health and office visits in Green Bay and Door County*