VERIFICATION OF INSURANCE DOES NOT GUARANTEE PAYMENT FROM YOUR INSURANCE COMPANY
Pay portions are estimates based on the information provided to Transformations Counseling Group, LCSW by the patient and his or her insurance carrier. The patient/guarantor must understand that having an insurance benefit does not guarantee payment. Exact benefits are determined when claims are received by your insurance company. There is no guarantee on our part that claims will be paid.
If a claim is denied, the client will be immediately billed for the outstanding amount while the denial is investigated.
The insurance carrier makes the final decision as to whether payment will be made after it receives and reviews the claim.
Some insurance companies use third-party processors for handling their mental health claims. This may be unknown to us at the time we verify your insurance and the information we receive can be inaccurate. We strongly recommend you check with your insurance provider for further explanation of your coverage.
When a client is treated at Transformations Counseling Group, LCSW (TCG), as a courtesy, TCG’s staff contacts the patient’s third-party payor to check insurance eligibility and pre-certification for insurance payment. We do our best to get accurate information but verification doesn't guarantee payment or accuracy. We advise you to call and check with your insurance for your exact plan benefits.
Every insurance policy is different. It is recommended that you contact your provider about copayment, deductible and out-of-pocket expenses, and pre-certification requirements.
Also, as a courtesy, Transformations Counseling Group. LCSW will bill the client’s insurance carrier for services.
The patient/guarantor is responsible for all outstanding balances should the insurance company fail to pay all or any part of the charges. The client’s Financial Counselor must be informed of all insurance coverage prior to the first visit.
Any non-payment as a result of the patient’s/guardian’s failure to provide insurance information prior to the first visit is also the patient’s/guarantor's financial responsibility.
It is the patient’s/guarantor’s responsibility to ensure that all insurance premiums, dues, and COBRA payments are current throughout the patient’s treatment at Transformations Counseling Group, LCSW PLLC
Any costs incurred by the patient/guarantor due to a change in the patient’s insurance policy are the sole responsibility of the patient/guarantor.
The patient’s insurance coverage is a contract between the client and an insurance carrier – not between Transformations Counseling Group, LCSW, and the insurance carrier. As such, the patient should be aware that insurance policies often change.
It is the client’s sole responsibility to know his or her coverage. Any costs incurred by the patient/guarantor due to a change in the patient’s insurance policy are the sole responsibility of the patient/guarantor.