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Guide to Verifying Insurance

Unlimited Resilience, LLC is an “out of network” private practice that does not accept insurance. However, we can provide “superbills” which can be submitted to your insurance for potential reimbursement, depending on your insurance plan policy.

Here’s some information to have ready and questions that can help when talking with your insurance company about your out-of-network benefits:

  • Name and date of birth of client 
  • Name and date of birth of policyholder if you are not the policyholder (i.e. if you are on your parent or spouses’ insurance plan)
  • Your insurance member ID number 
  • Your insurance group number 

We recommend you ask for a call reference number for tracking purposes. You will also need the practice details listed for accurate information.

Provider Name/NPI: This will depend on the team member you are working with. Before you call your insurance, please reach out to the therapist to get their full name, credentials, and NPI #, and if applicable, the full name, credentials, NPI # of the supervising clinician. 

Practice Details: 

Unlimited Resilience, LLC

Tax ID # 85-3456346

12 Red Gate Road Walpole, MA 02081

Important questions to ask to verify benefits:

  1. What are my out-of-network benefits for behavioral health, and what is the reimbursement process? 
  2. Does my plan cover the following outpatient therapy billing (CPT) codes? These are: 90832 (Psychotherapy 30 min); 90834 (Psychotherapy 45 min);  90837 (Psychotherapy 60 min)
  3. Are behavioral health benefits covered under preventative or medical coverage? Are there any diagnosis codes that are (or are not) covered?
  4. Do I have coverage for services provided via telehealth?
  5. Does my deductible apply? If so, how much is my deductible? How much of my deductible has been met so far this year? Do I have coinsurance? If so, what percentage am I responsible for?
  6. Do I have any session limits or max? If so, how many sessions do I have remaining?
  7. Do I have a maximum benefit limit per year?
  8. Anything else to know?

support@unlimitedresiliencellc.com

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