Reimbursify FAQs

Which insurances does Reimbursify work with? 

Reimbursify works with ALL PRIMARY private health insurance plans (including Tricare and Medicare Advantage). If you have out-of-network benefits, Reimbursify can help!

Which Health Plans Does Reimbursify NOT work with?

Traditional Medicare

Alaska Medicaid

Workers Compensation

EPO plans (some)

HMO plans

Reimbursify also does not work with secondary health insurance plans.

Does Waring Wellness submit reimbursement claims to my insurance carrier on my behalf?

Although Waring Wellness does not directly submit claims for you, we do offer a claims submission assistant, which helps patients self-submit claims instantly. You are reimbursed for any out-of-network benefits directly by your carrier. 

Do I have to PAY EXTRA to use Reimbursify?  

No. Waring Wellness is a member of the Practice PRO plan.

There is NO ADD ON charge to you to file a claim. 

There is NO limit to how many claims you submit. 

And... you receive Priority Customer Support, through Reimbursify, anytime. 

What type of treatment does it work for?  

Reimbursify works with almost all outpatient claims using the CPT (Current Procedural Terminology) & ICD-10 (International Classification of Disease) coding systems.  

This includes claims by most speech-language pathologists, physical therapists, mental health practitioners, physicians, etc. 

If your plan provides out-of-network benefits for speech or voice therapy, Reimbusify will work with you and help you get the most out of your plan’s benefits.  

Neither Reimbusify nor Waring Wellness can guarantee that your care will be covered by your plan. 

Please contact your insurance carrier or refer to your plan's guidelines if you have any questions regarding benefits.  

How do I file or submit a claim as a patient?

Reimbursify dramatically simplifies the entire claim submission process and should only take you a few minutes with the mobile app (available for Android and iPhone).

Step-by-step instructions are included here. Tap the icon below:

What is a superbill? 
 
A superbill is a special receipt or INVOICE provided to a patient by a healthcare practitioner specifically for the purpose of submitting a claim for reimbursement to their insurance carrier.  
 
Superbills contain detailed information about the patient, the practitioner, and the type of visit. This information is all that is needed to submit a claim to your carrier.
 
You will need to provide a copy of your superbill each time you submit a reimbursement claim with Reimbursify.  
 
A copy of your superbill /invoice is available, at any time through your PtEverywhere Patient Portal. Click link here on how to locate your invoice through your PtEverywere Patient Portal.

Upload a copy or scan an image of your invoice and submit to Reimbursify in seconds. It’s that easy.  

How long does it take to process a claim?

Reimbursify’s digitized process gets claims delivered to your insurance payers’ processing hubs within hours.

While many payers will process the claims within a week or two, Reimbursify recommends allowing 4 to 6 weeks for processing since that is a time stipulated by most states.

How much money will I get back? 
 
Reimbursement rates vary based on plan type. Most plans offer an out-of-network reimbursement rate of 60%, 70%, or 80% of what your in-network benefits would cover. 

To learn exactly what your benefits are, check the online portal of your insurance carrier or call them directly. You can also fill out the eligibility form on the previous webpage and request details for your benefits.  
 
Not all benefits are readily available through Reimbursify. If this is the case, please contact your carrier directly.  
 
Alternatively, if you get your insurance through your employeer, you can reach out to your HR representative or insurance coordinator, as they will be able to provide benefit information and they can also assist you in your claims process. 

Can I file multiple claims at one time? 
 
Yes, you can! It is common for patients to see the same practitioner for the same treatment multiple times (weekly therapy sessions are common with our users). 

If all of the information on your superbills is the same (same provider, same treatment codes, same place of service, same price) except for the date, all you do is tap to select multiple dates on the “Date of Service” screen when filing a claim via our mobile app.
 
Note: the information must be the same on each claim to submit as one batch. If the place of service (i.e., in person at the Dome v in person at the Clinic) differs you need to submit each claim separately. 

Can I file claims for visits that happened several months ago? 
 
Yes, you can!!
 
In fact, it’s common when people first learn about Reimbursify to have already visited an out-of-network provider multiple times.  
 
Most health insurance companies allow a reimbursement claim to be filed within one year from the listed date of service. 

Can I submit a claim for a dependent, child or spouse/partner?

Reimbursify was designed to make filing claims for the entire family easy! You can use the app to file for yourself, a child, or a spouse (or domestic partner).

Click the icon below for instructions on filing onbehalf of a family member:

Is it true I can ask my insurance company to process my out-of-network claims as an in-network benefit and receive reimbursement at an in-network rate? 
 
Yes! 
 
Federal and Alaska State Laws have both stipulated that specialized and post-stabilization care not readily available in your imediate area by an in-network provider meet the criteria for your insurance carrier to process your claim with an out-of-network provider as an in-network benefit, at your in-network rate. 
 
Post-stabilization is a term used to describe services related to an emergency medical condition. These services are provided after the person's immediate medical problems are “stabilized or unlikely to decline.” Services may be used to stabilize, improve, or treat your condition.  
 
Anyone who has been seen either in the emergency department or had an urgent care visit (even seen with their own primary care provider) prompted by their condition meets this criteria and definition for "post-stabilization care." 
 
Lastly, services or care must be readily available in your area. If an in-network provider:

(1) cannot immediately accept you on their caseload

(2) does not work with the condition, disease, or disorder for which you seek treatment

(3) does not work with pediatric patients if you are an adult

(4) does not work with adult patients if you are a child or minor...

...then you have grounds to request claims from an out-of-network provider to be processed as an in-network benefit.  
 
Although we cannot guarantee your carrier will honor this stipulation, it is your right to make this request for consideration and there is ample legal precedent to support your request.  
 
In our efforts to maximize your true health care benefits, Waring Wellness has written a letter on your behaff for you to use to start this process. Edit the details in the template and submit directly, along with a copy of your invoice/superbill, to your insurance carrier. 

They may request your entire report which you have acces to in your PtEverywhere Patient Portal. Your reports are available 24/7 no need to request authorization - these records belong to you.

Click on the image below for more information on how to use your Patient Portal:

 

 

Need Help accessing invoices or records?

Click the image below for How To Use The PtEverywhere Patient Portal Tutorial: