How Insurance at Clarity Therapy Works

All of our therapists are Out-of-Network. This means that we’re not in-network or credentialed with any insurance companies.

If your plan includes out-of-network benefits, you’ll pay for each session at the time of service and then submit a claim to your insurance company for reimbursement. Your insurer will review the claim, determine the eligible amount based on your plan’s out-of-network coverage, and issue reimbursement directly to you once you’ve met your deductible.

*Please note that we cannot accept prepayment for sessions that haven’t occurred yet. 

1. Complete your paperwork on Simple Practice (required)

2. Look up and confirm your out-of-network benefits

Therapy is an investment in your emotional well-being, and we want to make accessing care as simple as possible.

Our rates vary by therapist and session length, and if you’re unsure about insurance reimbursement, we’re here to help. Fill out this form for a complimentary benefits check, and we’ll contact your insurer to provide an estimate* of your coverage.

*This estimate is not a guarantee of reimbursement—be sure to confirm the details with your insurance provider, especially for telehealth services.

3. Learn how TO GET REIMBURSED

What is a superbill?

What information is included on a superbill?

• • • Patient Information – Name, date of birth, contact details, insurance info, and patient ID (if applicable).

    • Provider Information – Therapist’s name, practice address, contact details, and necessary provider ID numbers.

    • Date(s) of Service – The specific date(s) of the appointment(s).

    • CPT (Procedure) Codes – Standardized codes for the services provided.

    • Diagnosis Code (ICD-10) – The medical diagnosis justifying the service.

    • Description of Services – A brief summary of the treatment or procedures.

    • Place of Service (POS) Code – Specifies in-person (code 11) or telehealth (code 10).

    • Units – Quantity of each service provided (e.g., two therapy sessions = 2 units).

    • Fee/Charge – Cost per service and total session cost.

What is COURTESY CLAIMS SUBMISSION?

How Courtesy Claims submission works:

1. Session is paid at the time of service.
2. Our billing team submits your claims within 2-4 weeks of the date of service 
3. Once your deductible is met, you receive reimbursement directly from your insurance provider.*

**This process remains the same even after meeting your deductible. Clarity does not accept insurance payments. 

Not all insurance plans support courtesy claims submission, and eligibility varies by insurer. During registration, our team will check if your plan qualifies. If not, we’ll provide a monthly superbill for you to submit independently.

Please note, we cannot track claim statuses or assist with appeals for denied claims.

4. SUBMIT YOUR CLAIMS 

If you receive superbills, you’ll get an email from Simple Practice on the 5th of each month with a secure link to download your superbill for the previous month.

Submitting a superbill means sending it to your insurance company for reimbursement or keeping it for your records. Here’s how:

How to submit a superbill to your insurance:

1. Review: Ensure all details are correct, including service dates, descriptions, codes, and costs.
2. Contact Your Insurance:Ask about their submission process, required forms, and any additional documentation.
3. Submit the Superbill:Follow your insurer’s instructions (mail, fax, online portal, or electronic upload). Some plans may require a claim form.
4. Keep a Copy: Save your superbill, claim form (if needed), and any related documents.
5. Follow Up: If you don’t receive reimbursement or a response, check with your insurance provider.

If you’re eligible for Courtesy Claims Submission

Once we verify your benefits, our team will enroll you in courtesy claims submission. Claims are typically submitted within four weeks of your session date.

You can track your claim’s progress through your insurance provider’s portal. After meeting your deductible, reimbursement is usually issued via ACH deposit or check, depending on your insurance setup.

Processing typically takes 2–4 weeks from submission and continues until your plan resets. Most plans reset in January or July, or when starting a new policy.

5. remember to keep us informed

 If your insurance or credit card information changes or expires, please make sure to update your information by emailing [email protected] or calling 917-847-7556.

Unsupported insurance plans