©2019 by Hallmark Therapeutic Services. All rights reserved.

“A child is like a butterfly in the wind. Some can fly higher than others, but each one flies the best it can.
Why compare one against the other?
Each one is different.
Each one is special.
Each one is beautiful.”

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Billing

The ASHA Model Superbill is a standard form that can be filled out and given to health insurance companies who reimburse for private speech therapy. Since HTS is an out of network provider for all insurance companies at this time, we will fill out the form after each session and provide it to the family for them to submit to their health insurance company for reimbursement. At this time, HTS is unable to assist with the negotiating of claims with the various insurance companies.

We will require payment at the time of service, and will provide you with a superbill for services which you can use to submit your claims. We are able to provide a prompt pay discount of 10% for regular sessions which are paid in full at time of the appointment for cash pay clients. Evaluations are not discounted.

 

Services and Packages

 

Why doesn't HTS take my insurance?

In most cases, insurance will restrict the number of visits per year that a client can be treated. Also, insurance doesn't always cover services that do not directly correspond to a particular medical diagnosis. Insurance only will cover secondary delays related directly to an approved medical diagnosis!

Some families do not feel comfortable labeling their child with a diagnosis during their childhood, and that is THEIR RIGHT. However, without a medical label, insurance companies will not authorize services. Some companies will dictate the environment in which services must be rendered. 


Paying out of pocket allows for the family and HTS to collaborate together in order to provide the best quality of service for their child or loved one. It also allows the family to be in control of the provider they wish to see instead of being dictated by their insurance provider where they are allowed to go, based on their coverage. It also ensures that your records and diagnoses are entirely confidential documents. The content of your session stays entirely between you and your therapist. Your care is dictated by what you think you need, not your insurer. Many people have a Health Savings Account (HSA) that will help them pay for sessions and operates just like cash- but they don't realize it.

 

FAQs

What forms of payment does HTS accept?

All payment is due at the time of service, or according to your therapeutic package plan. HTS accepts the following methods of payment: cash, check, VISA, and Mastercard. Cash and check payments may be made in person, however card payments must be made at the time of online scheduling. If paying cash, please pay the exact amount as no change is available.

What if I need to cancel my appointment?

We understand that life is unpredictable and things happen. However, we cannot maintain positive therapeutic progress if the client does not routinely show up for therapy. A cancellation is defined as a scheduled appointment that was cancelled the same day (within a 24 hour period). A no-show is a missed appointment. Both are subject to a fee.


We ask that you notify us via email within at least 36 hours of your anticipated missed appointment. If, at minimal, a 24 hour notice is not given, HTS reserves the right to change you the full rate of your scheduled therapy session. This fee can be waived if the session is rescheduled within 2 weeks. After 3 no-shows within 3 months, HTS reserves the right to remove the client from the schedule and offer the appointment time. to a waitlisted client.

How do I get reimbursed from my insurance company?

Step 1: Collect Your Itemized Receipts

To file a claim, we will provide you with an itemized superbill monthly. This bill will list every service you received  during the month along with the cost and a special code the insurance company will need to

pay your claim. 

Step 2: Complete Claim Form
You will need to contact your insurance company to obtain a health insurance claim form or download a copy from their website. Your claim form will also give you additional instructions pertaining to what other information they may need from your doctor or healthcare facility.

Step 3: Make Copies
Once you have your claim form filled out and your itemized bills, don't forget to make copies of everything. It will eliminate any errors that may be made in the claim process and make it easier for you to re-file your health insurance claim if it gets lost.

Step 4: Review then Send
To make sure everything is completely accurate, call your health insurance company and tell them you are about to send in your health insurance claim form. Review with them all the paperwork you have and ask them if there is anything else you need. Also, ask your insurance company how long should you expect to wait for your claim to be paid and mark that date on your calendar. Once you have everything in order, send out the claim form to your insurance company. The address to send the claim form should be on the claim form itself. Keep an eye out on your calendar for the claim date that you marked and contact your insurance company if you don't receive your claim within the time frame given to you. Reimbursement checks should be made payable to you and mailed directly to you as well.

How do I qualify for the prompt pay discount?

A prompt pay discount of 20% will be applied on all services paid at the time that services are rendered. Select packages are also eligible for prompt pay discount if paid in full, prior to services beginning.