Billing: Frequently Asked Questions

Are you on my insurance? 

We are not in-network with insurance. Child and Teen Solutions is a private pay clinic. 

Will my insurance cover your services? 

A portion of the cost may be covered by your insurance. Plans vary in terms of what they will  cover for an out-of-network provider. We have seen some plans reimburse clients for as much as about  $100 per therapy session, whereas some plans provide no reimbursement.  It is your responsibility to check with your insurance ahead of time so that you understand your coverage and avoid surprises.

Will you bill my insurance directly? 

We are not able to bill insurance directly. Instead, we provide you with documentation that you can  submit for out-of-network reimbursement. Your insurance will send the payment to you directly.  

What billing codes will you be using?

Therapy / treatment codes may include one or more of the following*: 90791, 90834, 90846, 96137

*The “-95” modifier is added to the above codes if any of the services are delivered via telehealth.

Evaluation codes may include any of the following: 90791, 96130, 96131, 98132, 96133, 96136, 96137, 96138, 96139

How do I pay for your services? 

When you set up your account in our secure client portal, you will be asked to store a credit card. We process charges on the day of service.  

Can I use my HSA or FSA card? 

No. However - our understanding is that you may be able to reimburse yourself from your HSA and FSA funds for costs incurred with us, assuming the services meet the criteria required by your HSA or FSA program for reimbursement.

When will you send me a form for me to submit to insurance?  

On the 5th of every month, our system generates a Superbill (that reflects the prior month’s services) that is emailed to you. 

If I get a Superbill, do I have to pay it? 

No. Superbills are autogenerated by the portal system. They reflect your payments so that you can submit the charges to your insurance.  

I’ve lost my Superbills. Can you send me a new one? 

Of course! We can recreate superbills for any time period, at your request. 

If I cancel my session, will I still get charged? 

We require 48 hour business day cancellation notice in order to avoid being charged for your scheduled  session. Please note that we may waive this fee on a case by case basis.