A Commitment to Compass's Patients
At Compass Health Center, a Patient Advocate will guide patients throughout the financial process by doing the following:
- Act as a liaison between you and your insurance company
- Answer your insurance and billing questions in addition to any questions surrounding program documentation and coordination of care
- Explain costs, coverage and eligibility, and self pay responsibilities
- Follow the revenue cycle process with integrity
- Treat you with respect and compassion
- The Compass team offers payment plan options
While it is Compass’s top priority is providing comprehensive psychiatric and behavioral health treatment, the team also feels it’s important to be open around potential patient financial liabilities and options.
Insurance Coverages
- Compass Health Center is in-network with several major payors. The Compass team can provide further detail about your network status during the intake process.
- Compass’s Utilization Review (Insurance) Department works with all insurance companies to prove medical necessity and obtain pre-authorization.
Other Things to Consider:
Before and during your treatment at Compass Health Center, the Utilization Review (UR) team will be in contact with your insurance to get authorization for services.
If you receive any denial letters from your insurance, either while in treatment or after discharge, please know that Compass received a copy as well. A denial from your insurance company is not a request for payment, nor is it considered a bill. The Compass team will contact you if your help is needed handling the denial, such as with coordination of benefits or premium payments.
FREQUENTLY ASKED QUESTIONS
After Compass receives an explanation of benefits (EOB) from your insurance carrier, Compass will generate a self-pay statement to the address and guarantor (financially responsible person) on file. If there are no changes or questions regarding your bill, Compass will bill your credit card on file after 10 days.
Statements are issued monthly and are delivered Electronically (email) &/or Mailed, based on your preference. The balances indicated represent claims that have been processed by insurance and may include claims that are still pending. You may receive additional statements once all claims are finalized. Statements can be viewed securely via the Instamed Patient Portal. If you are in need of an itemized statement, please contact Billing and one can be provided to you.
Payments can be made securely online via the Instamed Patient Portal or over the phone. Alternatively, payments can be made automatically through AutoPay Collect (APC). Through APC, the guarantor whose credit card is saved on file will receive monthly eStatements (via email) and will be charged for balances in full 10 days after the statement has been sent. Within those 10 days, you have the opportunity to review the statement online, contact your insurance company, and reach out to Billing with any questions or to set up an interest-free payment plan over the phone.
APC Patient Guide
APC Patient Guide
Please note that Compass will make every effort to appeal any denials Compass receives from your insurance. Compass does not want these scenarios to cause undue stress to you during treatment. If Compass is unable to get a denial overturned, Compass will work with you on payment arrangements and options.
Many times, mental health benefits are carved out or administered by a third-party managed care company. Please review the back of your insurance card to understand your coverage levels and mental health benefits. Compass will work with you to understand these, but Compass feels it’s prudent for the patient and/or their family to review them as well.
How to Check Your Benefits
How to Check Your Benefits
In general, please give your insurance 60-75 days to process a claim. Some payors process it sooner, but some take longer.
Compass strongly recommends that you open an online account with your insurance company. This will enable you to see what claims have been submitted, accepted, and processed. It will even show you the explanation of benefits regarding how your claims were paid.
Compass strongly recommends that you open an online account with your insurance company. This will enable you to see what claims have been submitted, accepted, and processed. It will even show you the explanation of benefits regarding how your claims were paid.
Refer to your online insurance portal to review the claim or the Explanation of Benefits received. It may have been processed, but your insurance is classifying it as part of your deductible, co-insurance, or copay. Please note Compass also receives any denials that you receive and will be reviewing for a possible appeal.
Providers (physicians, nurse practitioners) charge various rates for different services. A provider may charge an evaluation and management (E/M) code when seeing a patient at one time, then charge for psychotherapy or other services at another time. Also, the first time the doctor sees a patient in PHP or IOP, that E/M code is priced at a higher rate because of the visit being longer and more complex, while shorter follow-up visits are priced lower. This is why you may see different rates on different days.
