FEES AND AVAILABILITY

We are taking new clients and look forward to serving you. To schedule a first appointment, click here.

 

What is this Out-Of-Network Thing All About?
 
Resolve Psychological Services is an out-of network provider, as are most therapy providers in DC and nearby Virginia suburbs. This means that we collect payment at the time of service, and then we provide you with an insurance-friendly receipt called a Superbill that you can submit to your insurance company for “out of network benefit reimbursement.” The Superbill has all the appropriate codes the insurance company needs to activate your out of network benefits. Most insurance companies provide 60-80% reimbursement for “behavioral health” (typical procedure code is 90834-95) but you may want to check with your insurance company to be sure.

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Resolve partners with Reimbursify so that you can do a quick and free check on your out-of-network benefits online here, and so that you can you to easily submit your claims for out-of-network health insurance reimbursement from your smartphone.  Download the app and get your first claim free:

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When you call your insurance company, we suggest asking the following questions, specifically: 

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Do I have out-of-network benefits for behavioral health?

What is my percentage reimbursement after my deductible is met?

How much is left on my deductible? 

If I see a therapist in 22209 for $250 per session with session code 90834-95 (telehealth) or 90834 (in-person), what will I get back for each session?

Do you mail a check to me for the reimbursement?

How to I submit the insurance friendly receipt, called a Superbill? (Hint, you can also submit easily directly through Reimbursify!) 

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The Fine Print on Good-Faith Estimates

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Per 2022 law, Resolve will provide you a “Good Faith Estimate” estimating how much your care will cost for the calendar year.

 

Under the law, health care providers need to give patients who do not have insurance or who are not using insurance an estimate of the bill for medical items and services.

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• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. 

• Your clinician will give you a Good Faith Estimate in writing before you begin care at Resolve. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

• If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

• Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 800-985-3059.