Payment for Services

Texas Patients

Emerald Behavioral Health Services LLC currently accepts Blue Cross Blue Shiel (BCBS), Cigna, Amerigroup, Medicaid, Medicare, Optum Private Pay, UnitedHealthcare UHC | UBH.

California and Washington State Patients (Out of network)

Emerald Behavioral Health Services LLC, currently does not accept any insurance at this time, we are working on credentialing with insurance companies. All appointments are only cash payments.

OUT-OF-NETWORK PATIENTS

Emerald Behavioral Health Services LLC is a fee-for-service practice.

All sessions must be paid in full at each appointment. All missed appointments and sessions cancelled with less than 24-hours notice must also be paid for in full at the time of the scheduled appointment. Prior appointment, an invoice will be initiated by our customer care/service agent for either co-pays or full payment. The patient is required to make the payments before services can be provided. If a patient is unable to pay due to hardship or other issues, a payment plan will be established over a period of 2-3 months only.

If you use insurance, but from an out-of-network company, Emerald Behavioral Health Services LLC will provide you with a “Superbill”. This superbill lists the insurance billing codes (e.g., CPT codes—see above) for the services received and a list of payments received by the provider from the client for these services. There is no information on these forms that discloses what a client discussed during their appointment. The superbill does list the client’s name and date of birth as it appears on their health insurance so that reimbursement is not denied due to the carrier having no record of coverage for the person submitting the claim to them. Superbills list the diagnosis code to identify the primary reason the person is receiving therapy as well as the identifying information and the National Provider Identifier number (NPI) of the provider of these services.

Clients may submit superbills to their insurance for reimbursement of a portion of their session fees when they wish to AND if they have out-of-network benefits. Patients submit superbills to their insurance carrier for reimbursement, if they have out-of-network benefits. To find out if you have out-of-network benefits, call the member services number on the back of your health insurance identification card and ask if you have out-of-network benefits for behavioral health services. If you do, ask them the rate of reimbursement, or how much they pay you back per session. This rate will vary based on the service you need and the level of degree licensure of the therapist. Whether these out-of-network benefits are provided, when available however, is variable and individuals are responsible to explore their benefits with their own carrier prior to engaging in services for which they may later want reimbursement. Clients must check with their own insurance carrier to ask about out-of-network benefits.