updated as of May 2024
When working with Phases Therapy, Inc, we require the following to be on file at all times:
- Current Insurance card (front and back)
- Valid ID
- Working Credit or Debit Card
- Current address and phone number
(Our system is HIPAA compliant and your privacy is very important to us.)
Payment
Before your first therapy session, we will provide you with a Good Faith Estimate of what your cost/co-payis from your insurance company. This is an estimate and is subject to change based upon the processing ofthe first few claims from your insurance company. We will keep you updated if there are any changes as weare aware of them.
Before your first metaphysical session, the prices will be reviewed.
Copays or Fees will be charged at the start of the session (unless your clinician is using Headway to billyour insurance, it will be after the session due to their program). Your card will also be put on autopay as abackup precaution. If the payment does not go through, we require a secondary payment to be providedimmediately. If the payment does not go through, we will not conduct the session.
If you need us to delay your copay charge by a few days, let your clinician know. We will put theagreement in writing. If it does not go through at the agreed upon time, there will be a $25 fee and we willnot be able to offer this again.
If you need any paperwork filled out or a letter of diagnosis written, it is a $50 deposit for 20 minutes ofwork. It is $2.78 a minute after that. The bill must be paid and your account balance at $0 before weprovide the letter/paperwork.
If you have 2 unpaid sessions or a balance of $200, whichever comes first, we will pause sessions until thebalance is paid or a payment plan with the first payment paid has been made. We are happy to discusspayment plan options with you if needed. Please bring that up with your clinician and we can exploreoptions. Any payment plans will be put in writing and are subject to approval of the director.
Any claims or cost not covered by your insurance is the client’s responsibility to pay. We are happy toprovide super bills or invoices upon request. Refusal to pay after 90 days will result in it being sent to smallclaims court. The client is responsible for any cost incurred for this process.
See the Practice Policies form for more info if our services are needed for court.
Cancellation Policy
It is the expectation that clients are prepared and ready for their therapy session (if telehealth–being in aquiet, private place; computer or phone charged, etc. If in person, on time, or communicating with yourclinician if you are going to be late). This time has been reserved for you and we want to value your timeand ours. If you are going to be late, please contact your clinician as soon as possible. As a rule, we wait10 minutes and then mark it as a no show if we do not hear from the client to make other arrangements
If you cancel your session over 24 hours prior to your appointment, there is no fee
If you cancel your session under 24 hours prior to your appointment or do not show for yourappointment, there is a cancellation fee of the cost of your session
This does not apply to Medicaid clients.
We will try to reschedule to avoid the cancellation fee whenever possible, but we cannot guarantee whatavailability the clinician has.
The clinician may waive your late cancellation fee if there is a life threatening emergency. Pleasecommunicate if you feel like the reason is.
If you have 3 late cancellation and/or no show appointments, we reserve the right to terminate therapy. put on autopay as abackup precaution. If the payment does not go through, we require a secondary payment to be providedimmediately. If the payment does not go through, we will not conduct the session.