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My payment report says something different than what the benefit verification said. What should I do?

It can be frustrating when the numbers don't align, but insurance data is often a "moving target." If your payment report contradicts your initial verification, follow these standard steps:

  1. Submit a Re-verification: Use the Benefit Verification Form and select "Existing Client to Reverify"

  2. Compare Results: Our team will provide the most current data available from the insurer.

  3. Adjust Collection: If the report is correct, update the client's cost-share moving forward & process any necessary refunds or credits for previous sessions.

  4. Client Advocacy: If the insurance company is still providing conflicting information, the client should call their member services line directly to verify their "Member Responsibility" by asking about "cost for psychotherapy in an office setting".

Always remember: Benefit verifications are estimates based on information provided to us by insurance companies, and they can be subject to occasional error.