“A journey of a thousand miles must begin with a single step.” - Lao Tzu
The Riverwalk Group is an out of network provider, which means that you pay The Riverwalk Group directly after each session. This also means that we do not participate with any insurance companies. The Riverwalk Group will provide you with a paid invoice after each session that includes all necessary coding, dates and confirmation of payment so that you can submit to your insurance company. It is very important to us that our clients receive the maximum reimbursement from their insurance companies and we will help in any way possible to ensure this process is efficient and straightforward for our clients. We recommend that you begin exploring this process as early as before the first therapy session or consultation.
Questions to ask your insurance company when inquiring about Out-of- Network Benefits:
Does my plan cover out-of-network behavioral/mental health?
What are my out-of-network mental health benefits?
Do I have a deductible? If so, what is it?
What is the coverage amount per therapy session?
Is the amount paid to me based on the actual fee or based on what is considered reasonable and customary?
How many therapy sessions does my plan cover?
Is there a limit to my coverage?
Is a referral required from my primary care physician?
What information does The Riverwalk Group need to provide to receive reimbursement?
Tips to help with getting insurance reimbursement:
We recommend that you create a paper file for all your claims. Each time an invoice comes to you from The Riverwalk Group, you should print it, make a copy and attach it to a claim form from your insurance company. Keep a copy of the claim form and invoice and mark the date you sent it. We recommend that you fill out the necessary items in the health form and make multiple copies so that it is easily accessible and is simple to attach our invoice to it. Mail, scan or fax to your insurance company. If you have not heard from them in two weeks, call to confirm that they have received the claim. Additionally, make a copy of your insurance card to have in the file. Make sure you copy both the front and back of card.