Built on our decades of experience in the healthcare industry, Reimbursify’s proprietary claim-filing process ensures efficient submissions that get reimbursed fast.
Reimbursify works for any out-of-network office visit, with any doctor, practitioner, therapist or specialist, and with any private insurance company.
If your claim is rejected by your insurance company, Reimbursify’s expert system comes to the rescue. Our team of industry savvy professionals have identified the most common reasons that claims get rejected and we’ve embedded the pathway to resolution right into the app!
And there is never any additional charge if you need to resubmit an updated claim for the visit.
Coding Best Practices for Ketamine Clinics Most outpatient out-of-network services like a visit to a doctor or therapist utilize fairly simple medical coding–there’s usually just one (or maybe two) service codes (also known as CPT, or Current Procedural Terminology codes). But as new treatments go out-of-network, like ketamine infusions for depression, medical coding needs to […]
Read moreSuppose Suzie spends $200 to see a therapist who does not take her health insurance (which is a PPO plan she obtains through her employer). Depending on the treatment she receives and the type of insurance plan, her insurance company might say the amount she paid exceeds the “allowed amount”. For out-of-network services, the patient […]
Read moreYou’ve chosen a practice independent of insurance contracts to provide the best, most attentive care. Now, you can help your patients get quick and easy OON reimbursements. Save time, money and the administrative hassle of helping your patients file their claims and give them the confidence that they will get the correct reimbursements for your office visits.
Register for free and we’ll validate your NPI information for you to ensure it’s up to date! We’ll also send you information on the benefits of joining our Practice PRO network.
Click below for more info and start streamlining out-of-network reimbursement for your patients today!
The app is free to download and for new users, the first claim you file with Reimbursify is always free. In addition, your provider may have signed up for our “Practice Plus” subscription which gives you another 4 free claims. After that, the cost to file a single claim (one visit with a provider) is $2.99. You can also pre-purchase a “10-pack” for $24.99 which is good for a year.
If your practitioner has signed up for “Practice Pro,” all of your claims are free for that practice!
Reimbursify was conceived and developed by healthcare experts and we value privacy and data security above all else. We exceed all HIPAA specified security guidelines. We will never share any of your PHI (Protected Health Information) without your permission except as needed to process your claims.
Sometimes claims can be rejected for legitimate reasons but often they get rejected for no good reason at all (just ask anyone who has filed claims before!). If a claim gets rejected or denied, Reimbursify’s Rejection Resolution Pathway will help you easily navigate how to correct it. If your claim needs to be refiled, the re-filing will always be free.
Most private health insurance plans provide some level of out-of-network reimbursement. If you see the terms “POS”, “PPO” or “out-of network” on your insurance card then you are likely eligible. If you see “HMO”, “Medicare” or “Medicaid” then you probably do not. Check with your insurance company or HR rep to be sure.
Many healthcare providers--such as doctors, therapists, specialists--do not accept some or any health insurance plans. When this is the case, you have to pay the bill directly to the provider and then submit a claim to your insurance company for reimbursement. This is a difficult process that requires searching for forms online, printing hardcopies, filling out those forms by hand and mailing via snail mail. Errors are common and can easily result in rejection of claims for even the smallest issue.
It’s simple: you see your out-of-network healthcare practitioner and pay for the visit. They will give you a detailed receipt (known as a “superbill”) that has the necessary information on it to file a claim with the Reimbursify app within minutes. The app will alert you when the claim has been received by your insurance company and then again when you should expect your reimbursement check in the mail (usually within 2-4 weeks). That’s it! There are no forms to fill out, nothing to fax or mail, and nothing to remember.
Our CEO showed his disruptive cred as a kid when he would regularly drive a landscaping truck across the desert of California, though he was still two years shy of the state’s driving age. His rebelliousness shines through today. After his insurance company repeatedly denied receiving a claim form he had sent numerous times, Bill programmed his fax machine to send them 100 copies of it, one after the other. They never “lost” one of his claims again!
Filing out-of-network health insurance claims should not be so hard, right? But it is. Years ago, after they rejected one of his reimbursement claims for no good reason, our Chief Medical Officer was compelled to buy one share of stock in his insurance company so he could voice his complaints at the annual shareholders meeting! It is out of his low tolerance for insurance company BS (Bottom-line Shenanigans) that led him to conceive Reimbursify.
A veteran disruptor in the tech industry, he was one of the first to do social media for a major media company before it was even called “social media.” And his thirst for justice regarding insurance reimbursement? He fought to reverse a rejected claim that was for $28. When the agent asked why he didn’t just pay for such a small amount he replied, “Because of the principle. It should have been covered!”
Growing up in a home where his mother ran a psychotherapy practice, Mike experienced from an early age the frustration that mental health practitioners and their patients suffer through, when dealing with insurance companies. Since then Mike has built and scaled several successful product development teams at software companies who provide services for small, medium and large enterprises, including Booker Software, WeWork and most recently, ShopKeep.