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Appeals Template

Have you applied to a panel and have been denied? Would you like to appeal a closed panel decision? We've developed a template to navigate the process for you. We have an 81% success rate using this exact formula. 

 

$4.99

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Mastering Insurance Templates

If you're a mental health professional seeing clients you are likely accepting insurnace as an in network provider or helping your clients seek reimbursement for out of network services.

There are a variety of tools that you need to successfull master the insurance billing process. We have developed a list of template to assist you with this process. There is no reason to recreate the wheel...we've done the work for you. 

Mastering Insurance Templates are designed to support the back end office for mental health professionals navigating insurance. These templates were developed to meet the needs of both in network and out of network providers.

Templates include:

Balance Due Letter

Closed Panel/Single Case Agreement Template

CMS1500

Credit Card on file Authorization

Commonly used CPT codes

Claims Tracker

Counter rate reduction letter

Fee Increase Template

Insurance Verification & Release Form

Insurance Withdrawal Letter to Patient

Insurance Withdrawal Letter to Panel

Letter of Intent

Patient Election to Opt-out of Insurance

Patient Revocation to Opt-out of Insurance

Payment Tracker

Payment Arrangement Letter

Recoupment Request Response Letter

Superbill

Third party payment agreement

$97.00

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Opt-in and Opt-out templates

Are you INN with a panel but your client wants to OPT-OUT of using their insurance.  The client must consent to what it means to opt-out and must opt-in if they choose to use their insurance at a later date.

Here's our template that covers all the bases for this process.  

$7.00

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Recoupment Response Letter

Have you received a letter of overpayment or recoupment from an insurance company? Don't just accept that they are recouping funds...there are several layers to the process. Here's a copy of our template to help you appeal and in some cases stop the recoupment.

 

 

$4.99

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