Karen Geren works with insurance companies to maximize utilization of out-of-network benefits. She is not contracted as an in-network preferred provider with any insurance plans. She facilitates access to out-of-network reimbursement by obtaining benefit information and any required provider authorizations. Claim forms, which are summaries of accrued charges, are provided on a monthly basis. Clients may submit these forms to their insurance companies for potential reimbursement.
If accessing out-of-network mental health benefits, it is important to understand how the insurance process works. Clients are STRONGLY encouraged to contact their insurance companies directly to determine their:
- Reimbursement rate based on Allowable Amounts for CPT codes 90791, 90834, 90846, 90847
- Number of outpatient visits permitted per year
- Precertification or authorization requirements
Clients must meet clinical criteria and be given a diagnosis for a mental health disorder in order to submit claims and receive reimbursement from insurance companies. Once this diagnosis is processed by the insurance company, it becomes a part of the permanent medical record and may impact future ratings on life and health insurance premiums. Consequently, clients may choose to pay privately in order to ensure the utmost confidentiality.
To assist clients experiencing financial hardship, a sliding scale fee based on need may be arranged with those who qualify.
Please note that payment is due at time of service. Cash, checks, and all types of credit cards including HSA/FSA are accepted
Karen Geren is happy to answer any questions about the use of insurance or payment options.