We will be happy to file a claim to your insurance company on your behalf for your office visits at Feeling Good Therapy and Training Center at no additional charge to you. This is a complimentary service to you for a limited time, as we evaluate our success in submitting claims with a new software we are using.
<<NOTE>> Feeling Good Therapy and Training Center is an out of network provider with all insurance companies. Therefore, full payments are due at the time of service.
In the future, should we successfully be able to submit claims that generate either reimbursements to you or claims counting toward your deductible, we will charge a nominal fee for this service. We will inform you of the fees associated with the service prior to handling the claims.
Your signature below allows us to submit claims to your indicated insurance carrier. Your signature below means you understand if any payments are paid for your services from your insurance carrier, it will be paid to you, not to your provider at Feeling Good Therapy and Training Center.