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Billing & FAQ

Summit Journey Therapy Services is a self-pay practice and does not bill insurance directly. Many clients choose to pay at the time of service for simplicity, flexibility, and clear, competitive rates without the added steps of insurance involvement.

For those with out-of-network mental health benefits, many clients are also successful in receiving reimbursement. We encourage you to contact your insurance provider to understand how your plan compensates for mental health services.

How Insurance Reimbursement Works

For further questions, see our FAQ below or contact us directly.
1

Check Your Benefits

We recommend asking these questions to your insurance provider to help determine your benefits:

  • Does my health insurance plan include out-of-network mental-health benefits?
  • What amount will you reimburse me for each session? (Normally this is a percent)
  • Do I need prior authorization for mental health services?
2

Attend Session and Request Your Superbill

If you have out of network coverage, you’ll receive a detailed receipt (called a superbill) that includes diagnosis and procedure codes required by insurance companies.

3

Submit for Reimbursement

You submit the superbill directly to your insurance provider for reimbursement. Summit Journey Therapy Services does not submit claims on your behalf. This can typically be done online, by fax, or by mail, depending on your insurer.
FAQ

Frequently Asked Questions

Do not hesitate to reach out with further quesitons to nikkiriachy@summitjourneytherapyservices.com.
Why are you self-pay?

Summit Journey Therapy Services is a small, self-pay practice and does have the resources to bill insurance directly. However, self-pay allows for greater flexibility, client privacy, and individualized care without restrictions from insurance companies.

Can I use my out-of-network benefits?

Many clients are able to receive partial reimbursement if they have out-of-network mental health benefits. Coverage and reimbursement vary by plan, so clients are encouraged to contact their insurance provider directly to verify benefits.

What should I ask my insurance provider?

To better understand your out-of-network benefits, consider asking your insurance provider the following:

- Does my health insurance plan include out-of-network mental health benefits?- - What percentage of each session will be reimbursed?
- Is prior authorization required for mental health services?

What is a superbill?

If you have out-of-network coverage, you will receive a detailed receipt—also known as a superbill—after payment. Superbills include diagnosis and procedure codes required by most insurance companies for reimbursement.

How does reimbursement work?

Clients submit their superbill directly to their insurance company for reimbursement. Submission methods may include online portals, fax, or mail, depending on the insurer. Summit Journey Therapy Services does not submit claims on behalf of clients.

Who is responsible for submitting insurance paperwork?

Clients are responsible for submitting their superbill to their insurance provider and following up regarding reimbursement status.

Do you offer telehealth or in-person sessions?

Yes. Sessions are offered both in person and via secure, HIPAA-compliant telehealth, allowing flexibility based on client preference and availability.

What are your session fees?

Session fees vary depending on the service provided (therapy or evaluation). Current rates can be seen on the services and modalities page.

How do I book an appointment?

Appointments can be requested through the online contact form. After reaching out, you’ll receive next steps for scheduling, paperwork, and initial consultation details.

How long are sessions?

Standard therapy sessions are typically 50 minutes. Psychological evaluation sessions vary in length depending on the assessment process.

How often will we meet?

Session frequency is collaborative and based on clinical needs, goals, and availability. Many clients begin with weekly sessions and adjust over time.