MCS is an out of network provider with all insurance companies; however, as a courtesy to our potential clients, we can call and verify your individual out of network benefits with your insurance company in helping you to determine your deductible, coinsurance, pre-certification requirements, and visit limitations.

 

As a courtesy to our clients, we will file your insurance claims for no additional fee.

 

At yourrequest, we will call and verify your out of network benefits with your insurance company prior to scheduling an appointment at MCS.

 

 It depends on the insurance company; however, most insurance companies have standard in-house deadline turnaround times of 30 days after receipt of submitted claims before they mail any applicable reimbursements.

 

Depending on the insurance company, any applicable reimbursements should be received within 45 days after your office visit.  However reimbursement can sometimes take up to 90 days. 

 

Yes, as part of our out of network courtesy claims filing, we will be glad to make any necessary corrections or re-filings on your behalf as needed. 

 

Yes, if it is determined that your claim was never received by your insurance company, we will immediately re-submit a claim for processing and follow-up accordingly. 

 

MCS can offer potential discounts off the standard office fees to enable clients the opportunity to schedule an initial and follow-up appointments, should the client meet the qualifications of extremely high deductibles, no out-of-network insurance benefits, no insurance at all, and/or financial hardships.  You may ask about this at your initial session, if you think you have financial need. We do not participate in a sliding scale.

 

9. Do you accept Medicaid, Medicare or Tricare? 

We do not accept Medicaid or Medicare insurance, nor do we file insurance for either of these carriers.  Tricare clients are responsible to call and get authorization from Tricare before being seen in our office.  It is the responsibility of the Tricare client to file their own insurance, as we do not file for Tricare.  

 

No.  Co-pays are applicable to in-network providers only.  MCS is an out of network provider with insurance companies, which means you will be responsible for paying the full fee for service at the time you checkout after being seen by your therapist. If you have insurance for out of network providers, MCS will, as a courtesy, file a claim for your visit. Depending on whether or not you have met your deductible, you will be reimbursed directly by your insurance company at the out of network rate minus your coinsurance responsibility. These reimbursement rates can be checked before your first appointment by MCS billing manager if you request. 

 

No.  If you are billed for a missed appointment by MCS due to a no-show or cancellation less than 24 hours notice (none emergency), we cannot file insurance.  Insurance companies can only process claims for appointments where you saw the therapist.  You will be responsible for payment of the full fee if you miss an appointment due to a no show or cancellation less then 24 hours notice (non-emergency).  

 

12.  How do I know if my claim has been filed and what my insurance company paid?  

You should receive an EOB (Explanation of Benefits) form from your insurance company in the mail after they process a submitted claim from MCS on your behalf.  This EOB will provide the info you need to determine what your insurance company allowed and applied for your paid visit.  If you need more info about EOB's, please contact your insurance company through your member services telephone number on your insurance card.