Does this mean I'll have to shell more therapy?

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Capitalism is good. Our healthcare perfect. Number 1 country. Freedom god church.
We are giant f-ing embarrassment.

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This is likely hyperbole.

This code is part of a formal mental health assessment that requires patient consent.

They don't charge this just because someone is crying.

likehelpful

Not necessarily. I went to an urgent care for strep, and they did a brief depression screen as part of the intake and billed my insurance for it. A lot of primaries also do those quick screens and don’t ask you for consent specifically for that.

Agreed it wouldn’t be for the crying itself but probably because they asked her screening questions after she cried.

likesmart

There is a lot of misunderstanding for insurance billing.

This looks like it's an EOB (explanation of benefits) from her insurance company. All insurance companies have a specified and dedicated code for each service rendered by a provider. Some are covered by your plan, some are not. All dependent on the benefits provided by the plan offered by your employer or govt chosen plan.

Just bc you go in for a "chat session" or you end up crying in therapy, it's not as simple as an one off item on the insurance side of things. Providers have to tell the insurance what was done, down to the T - an assessment is part of the process so they have to bill that, not crying.

When you receive your EOB's, the better question/actual concern should be whether your insurance plan covered the codes billed and if the patient has to pay the difference. If the provider is in network, then she needs to pay the co-insurance if it's not covered at 100%. Out of network providers still have to tell the insurance what they did but may not get paid fully so there will be a higher price to pay by the patient.

likehelpful

Why I'll never move to the US.

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