The Affinity Center is not contracted with any insurance companies. Instead, we are considered “out-of-network providers” for behavioral or mental health services.
However, we believe in making mental health support accessible and offer our clients support as they work to submit out-of-network claims to your insurance provider:
First, all session fees are due at the time of your appointment via cash, credit card, check, or Health Savings Account (HSA) cards. We are unable to directly bill your insurance company ourselves.
Next, access your insurance company instructions and the required form on their website or by calling their Customer Service number.
The Affinity Center will provide an Itemized Receipt for all eligible Dates of Service.
Complete your insurance company's claim form using details provided on Affinity's Itemized Receipt
Submit your claim form, Affinity Itemized Receipt, and any other required documents to your insurance company.
Please note: Your specific out-of-network coverage details are defined by (and unique to) your insurance plan so we encourage you to look into your “out of network” behavioral/mental health benefits to better understand your out of pocket costs for services at our center.
Affinity Center Itemized Receipts contain all necessary information for an insurance claim to be processed:
Provider Information (Name, credentials, address, phone number, NPI #, and Tax ID #)
Appointment Date of Service and Billed Amount
Appointment procedure code (CPT code) and number of units
Appointment ‘Place of Service’ code
Diagnosis code
Please follow insurance directions closely. Missing information will result in a processing delay or denial.
Your insurance Explanation of Benefits (EOB) form shows the amount applied to your out-of-network Deductible for each Date of Service. After the annual Deductible is met you will be reimbursed a certain percentage of your out-of-pocket expense for claims submitted in the remainder of the calendar year.
At the start of a new calendar year, claims from the prior year are processed only for a limited period of time. Call or check online with your insurance carrier to find out their deadline.
Some General Out-of-Network Coverage Details Across All Insurance Plans:
The fee for appointments with an out-of-network provider is paid for out-of-pocket (rather than a co-pay).
Clients must submit reimbursement claims directly to their insurance company for services by an out-of-network provider. (Out-of-network providers can’t submit these claims.)
Reimbursement amounts are determined by your specific insurance plan.