Insurance & Billing FAQs

Professionals in Personal Growth, Behavior, and Autism

We are happy to help with any billing questions you may have. In order to allow us to properly research your account we require billing inquiries to be submitted via e-mail to info@emergeprofessionals.com with a detailed description of the inquiry. Once researched, we will respond as soon as possible. The more information regarding the question/concern given in the inquiry e-mail, the more quickly we can begin to research your situation.

Emerge is currently in network with the following insurance companies for ABA services:

  • United Healthcare
  • Anthem BCBS
  • Aetna
  • EPSDT

Psychotherapy and Evaluation services are currently available on a self-pay basis.

If you wish to utilize out of network benefits for your evaluation or psychotherapy services, Emerge is happy to provide you with an itemized statement and receipt of payment. If you have questions about how to utilize your out of network benefits, contact your insurance provider as these processes vary by payor and documentation must be submitted directly from the client to their insurance provider.

Payment is due at the time of service and any outstanding balances will be charged to the credit card provided. Emerge requires a credit card be kept on file for all clients. This card is automatically charged at the time services are billed.

Yes. Like many businesses, Emerge requires a credit card be kept on file for all clients. This card is automatically charged at the time services are billed. An itemized statement and receipt for payment is sent at the same time via e-mail. If a third-party payor, such as an insurance company, attorney, or school district is responsible for payment, the card on file will only be charged for requested billable services that are not covered by the third-party payor agreement.

The card on file may be charged at the time of service, or at the time of billing for some remote (e.g. home or community-based, forensic) services.

Patient responsibility depends on your benefits through your insurance provider. We strongly recommend reaching out to member services and learning about your benefits prior to scheduling. Please keep in mind, contracted rates vary depending on what service is being billed so if you have a high deductible or co-insurance plan the patient responsibility may vary. Mileage is not covered by most insurance plans and any applicable mileage fees for offsite services are the patient’s responsibility.

For sessions occurring outside of the Emerge office, travel or mileage fees may apply. For ABA services, a mileage rate consistent with the IRS mileage rate is charged and is based on the location of therapeutic services. When possible, to reduce your costs, clinicians are assigned to locations near their homes or other scheduled sessions. For psychological services, an hourly rate for travel is charged and is equivalent to 50% of their hourly clinical service fee for the roundtrip from the Emerge office. These fees are not charged to clients using Medicaid or associated waivers, consistent with payor agreements. Travel associated with forensic services are charged at forensic rates.

Payment is due at the time of service. As a small business, in order to retain our highly qualified clinicians, we require timely payment so that we can continue to provide services that meet Emerge high clinical standards.

If your patient responsibility is higher than anticipated while using insurance, we recommend reviewing your EOB’s (Explanation of Benefits), which should be available to you through your insurance company. Your EOB will show how your claim was processed, what was paid by insurance and what was applied to patient responsibility. Any questions or concerns regarding patient responsibility that has been assigned to you by your insurance company should be addressed with your benefit provider directly.

If the cost of services is higher than anticipated through self-pay or when using insurance benefits, you may consider reaching out to your clinician and see if any service adjustments (lower dosage, change of clinician) can be made to accommodate your budget without compromising efficacy of treatment.

Yes, cancellation fees apply. Your clinician dedicates their time to your scheduled appointment. Please carefully review your agreements for details regarding cancellations fees which may vary according to service. Cancellation fees are generally not covered by insurance or by other third party payors (e.g. school district). These fees are not charged to clients using Medicaid or associated waivers, consistent with payor agreements.

COMPREHENSIVE SOLUTIONS FOR YOU AND YOUR FAMILY​