Fee Setting and Income Verification Policy Mental Health and Chemical Dependency Outpatient Clinics and Personalized Recovery Oriented Services (PROS)
BestSelf participates with all major area insurance companies as well as offering Private Pay options. BestSelf DOES NOT participate with Worker’s Compensation, No Fault or Hospice carriers at this time, regardless of other insurances.
Any copay, deductible, or other fees due are payable at the time services are rendered. BestSelf accepts cash, checks, Master Card and Visa as methods of payment. A fee of $30.00 will be assessed to a client’s account in the event that a check is returned for Insufficient Funds. This is managed by the Accounting/ Billing Department.
A sliding scale based on household income and family size is available to those that qualify. Clients must provide proof of income to be considered for a sliding scale fee. If a client does not provide proof of income, they will be charged at the full agency rate for each visit.
Insurance coverage or Private Pay will be verified by the Customer Service Representative, documented on the Client Fee Agreement (CFA), signed by the client, and submitted to Billing within 24 hours. The client’s signature on the CFA indicates an understanding of the agreed-upon financial responsibility, agreement to release information for billing and reimbursement purposes to insurance companies, and agreement to assign all insurance payments to the corporation.
Insurance coverage will be reviewed and updated yearly for each client and/or when there is a change to the coverage. Private Pay will be reviewed and updated every six months for each client. It is the client’s responsibility to notify BestSelf with any changes in income or insurance prior to the reviews. Fees will be in force until the last day of the month in which the CFA expires. Should the client refuse or be unable to provide updated proof of income, the fee will be reset to the full agency rate.
Insurance companies may require Referrals and/or Authorization. Customer Service Representatives or Central Intake will contact the insurance companies to initially obtain any necessary authorizations. Clinicians will be responsible to follow up on authorizations as needed.
Clients will be held responsible for outstanding balances and they will be billed for these charges monthly. BestSelf utilizes a collection agency to follow up on delinquent accounts. Closed clients must make arrangements to establish an acceptable repayment schedule prior to readmission into a treatment program. The Billing and Support Services Specialist will generate a report of outstanding client balances and review with the Supervising Customer Service Representative and Program Director monthly.
Clients with extenuating circumstances will be addressed on a case by case basis and approved by the Director and/or Program Director.
Clients should be referred to Billing with questions regarding outstanding balances. If a client’s balance has been transferred to Collections, they should be referred to Billing.
*** Under no circumstances should a minor be asked to sign a CFA. They are not legally responsible for any bills.