Request Appointment via Client Portal
All potential patients must use the client portal to schedule a phone consultation or initial appointment.
https://ccbtllc.clientsecure.m...
Before scheduling your first appointment, contact your insurance company to determine if I am in network.
INSURANCE GUIDE
Helpful questions to ask your insurance company before starting services. Adapted from Upside Therapy’s Guide
These guidelines are provided to assist you with calling your insurance company to check on your in-network and out of network benefits. CCBT, LLC is not responsible for the information obtained using this guide.
- Plan for 15-30 minutes of your time available to call your insurance company.
- Make sure to have this information ready before your call:
- Insurance card
- Name, date of birth, address, phone number, or possibly social security number of the policy holder and the person getting the services.
- Pen and paper/notepad
- Questions to ask for out-of-network insurance companies:
- Do I have a mental or behavioral health policy with out-of-network benefits?
- What are the requirements to use out-of-network benefits?
- Is prior authorization required?
- What types of sessions do you cover? (see table below for CPT Codes)
- Do you cover psychological testing? For which diagnoses?
- Is prior authorization required?
- Do I have an out-of-network deductible?
- What is my out-of-network deductible?
- How much of my out-of-network deductible has been met?
- What is the start date of the calendar year my out-of-network policy is based on?
- (Use table below to keep track of what you pay before and after deductible is met.)
- How do I submit claims for out-of-network reimbursement?
- Questions to ask for in-network insurance companies:
- Is this provider in-network? NPI Number: 1326429879
- Is there a separate deductible for outpatient mental health visits? If so, what is it?
- Do I have a co-payment for outpatient mental health visits? If so, what is it?
- How much of my deductible has been met?
- Is this coverage applicable before or after I meet my deductible?
- Is prior authorization required?
- What types of sessions do you cover? (see table below)
- Do you cover psychological testing? If so, for which diagnoses?
- Is prior authorization required?
- Is a referral required from my primary care physician?
- What do you cover if I need a session that lasts longer than 45 minutes? 60 minutes? Under what conditions will you cover additional time for a session?
- Is there a limit to the amount of money that you will pay during a year of treatment? A lifetime limit?
- Are virtual outpatient mental health visits (or teletherapy) covered by my plan?
- Date and time you called
- Representative’s name
- Reference number for the call
- Information that will be provided on your requested receipt of payment and superbill:
If yes:
At the end of the call make sure to have:
In addition, ask the representative if your policy covers these services (use the CPT codes provided below). How much is the insurance company’s “usual and customary fee” and what percentage do they cover?
| Service
| CPT Code
| CCBT Fee
| “Usual and Customary fee” for PhD
| Percent covered before deductible is met
| Percent covered after deductible is met
|
| Diagnostic Interview
| 90791
| $300
|
|
|
|
| Individual Therapy 45 mins
| 90834
| $210
|
|
|
|
| Individual Therapy 60 mins
| 90837
| $280
|
|
|
|
| Family Therapy with patient
| 90846
| $230
|
|
|
|
| Family Therapy without patient
| 90847
| $230
|
|
|
|
| Psychological Testing, including scoring, interpretation, and report writing (not all of these codes will be used, but please ask about each code specifically to ensure your understanding of benefits)
| 96130
96131
96136
96137
| $280 per hour prorated
|
|
|
|
- Provider’s NPI
- Provider’s license number
- Federal Tax ID number
- DSM-5 and ICD-10 diagnosis codes
- CPT or Procedure codes