They don't realize how far they've pushed us.


#interview with the vampire#iwtv#amc tvl#jacob anderson#sam reid



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They don't realize how far they've pushed us.

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Hey, um, medical billing/insurance claim site of Tumblr, can I get a sanity check or some help on this one?
My kid was in a bike accident in may that resulted in him being transported to a hospital to get checked out due to someone saying they saw him pass out after. No concussion, and thank the stars and little fishes for that. But now I have received this bill.
The denial reason doesn’t sit right with me.
Denied due to provider contracted/negotiated rate expired/not on file.
It sounds like they don’t have accurate information on their system and they’re trying to make me pay because of it. But I can’t afford this. I can’t pay this.
What does it mean?
How do I fight it? Do I just resubmit the bill?
Cigna: Value Pullback Is A Nice Alternative
Cigna: Value Pullback Is A Nice Alternative
Yesterday at work I was sorting the faxes and I came across a denial letter from Cigna stating that this patient couldn’t get a blood test to determine if there was cancer still/recurring because of insufficient data around the type of testing.
It made me so fucking mad. I schedule patients for these genetic blood tests at least once a week and it’s just a lab draw that gets sent out to determine if there are cancer markers in the blood.
But Cigna was like nooooo I’m sorry we think these tests don’t do anything and aren’t useful so we won’t cover the cost of it sorry!!! Good luck with your cancer!
I’m seeing red. I hate insurance.

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Can You Get Online Therapy Covered by Insurance? Here's How Reimbursement WorksMany people are surprised to learn that even if an online therapy platform doesn't accept insurance directly, you can still get reimbursed by your provider. Platforms like Online-Therapy.com offer all the documentation you need to file an out-of-network claim with your insurance company.This guide walks you through how it works, what to expect, and how to make the most of your benefits.Does Insurance Cover Online Therapy?Yes, in many cases. But how it works depends on your plan: - In-network coverage: Platforms like Talkspace and Teladoc partner with insurance companies to bill directly. - Out-of-network reimbursement: Other platforms, like Online-Therapy.com, provide documentation you can submit to your insurer for partial reimbursement.Because many insurance plans now include mental health and telehealth benefits, chances are good that you can get reimbursed—if you follow the right steps.How Reimbursement for Online Therapy WorksReimbursement doesn’t happen automatically. You need to: - Choose a platform that gives you the right paperwork (like a superbill) - Attend therapy sessions - Collect documentation (more on that below) - Submit it to your insurance company - Wait 2–4 weeks for a check or depositWhat Documents Do You Need for Reimbursement?Insurers need specific documents to process your claim. Here's what they ask for and why: - SuperbillA detailed receipt that includes: - Your name - Date of session - Service type (e.g., individual therapy) - Therapist’s name, credentials, and NPI - CPT and diagnosis codesWhy: Proves the session was a billable, medical service. - CPT CodesExamples: - 90834 – 45-minute therapy session - 90791 – Intake/diagnostic assessmentWhy: Tells your insurer what kind of service was provided. - Diagnosis Code (ICD-10)Examples: - F41.1 – Generalized Anxiety - F33.1 – Major DepressionWhy: Insurers only reimburse for services addressing recognized mental health conditions. - Therapist CredentialsLicense number, credentials (e.g., LCSW, LMFT), and NPI number.Why: Only licensed providers qualify. - Proof of PaymentCredit card receipt, platform invoice, or confirmation email.Why: You must have paid out-of-pocket first to get reimbursed.Why Some Platforms Are Reimbursement-Friendly (and Others Aren't)Not every online mental health platform qualifies for insurance reimbursement.To be eligible, a platform must: - Employ licensed therapists (not coaches or peers) - Offer live sessions that follow billable CPT guidelines - Provide detailed documentation (like a superbill)Many services don't meet all three. For example: - BetterHelp offers flexible messaging, but may not provide CPT-coded receipts - Coaching apps and peer-to-peer support often don’t count as therapyBy contrast, Online-Therapy.com offers weekly sessions, therapist credentials, and downloadable receipts—all aligned with insurer standards.Comparison Table: Online Therapy and Insurance ReimbursementPlatformReimbursement FriendlyIn-Network?Best ForOnline-Therapy.comContact Your ProviderNoWorksheets + structureBetterHelpContact Your ProviderNoFlexible messagingTalkspaceYes (some plans)YesIn-network convenienceWhat About Medicaid?Medicaid coverage depends on your state. Some state Medicaid plans reimburse for virtual therapy, others require in-person care, and many only cover certain platforms.We’ve created state-specific guides you can explore here: - Online Therapy in Michigan with Medicaid - Medicaid and Therapy in PennsylvaniaFor the most accurate info, call the number on the back of your Medicaid card and ask about "telehealth mental health reimbursement."How to Submit a Claim for Reimbursement - Download the medical claim form from your insurer’s website - Fill out the sections related to service, provider, and payment - Attach your superbill and proof of payment - Submit via member portal, mail, or email if provided - Wait 2–4 weeks for processingHow to Request Reimbursement Documents from Online-Therapy.comIf your online mental health provider does not provide a built-in download button for invoices or superbills, their support team can assist you in accessing the necessary documents. Use the following email template to streamline your request. While it is specific to Online-Therapy.com, change it to fit your provider, and still ask for the correct items:Sample EmailSubject: Request for Reimbursement Documentation (Superbill/Invoice)To: [email protected] Online-Therapy.com Support Team,I hope you're doing well. I am currently using your platform for therapy sessions and would like to request the appropriate documentation to submit an out-of-network reimbursement claim to my insurance provider.Specifically, could you please provide: - An itemized invoice or superbill for my sessions - The CPT codes and ICD-10 diagnosis code used for billing - My therapist’s full name, license number, and NPI number - Confirmation of payment (if not already included)If any of this information is already available within my account, I’d appreciate your guidance on how to access and download it.Thank you in advance for your assistance!Best regards,Final ThoughtsReimbursement for online therapy is more accessible than most people think. If you have out-of-network benefits, using a platform like Online-Therapy.com can be a smart, affordable choice. Just make sure to keep your receipts and submit the right documentation.Ready to get started? Try Online-Therapy.com today and download your superbill after each session. Save 20% using code: THERAPY20Book a retreat: https://bookretreats.com/search?a=lkkfr Read the full article
Cigna's CEO's email is [email protected] if anyone is curious.
A man battling stage 4 lung cancer was preparing to fly across the country for a life-changing double-lung transplant when his insurance com
Finding the right health insurance can feel overwhelming. At (www.getinsuranc.com), we understand. That's why we've created this guide to Ci