Accepted Insurance Plans
Insurance participation is unique to each of our providers. Select providers are out of network with all insurance companies while others participate in most of the networks listed below. Regardless of participation our highly experienced billing staff will file both in and out of network claims on your behalf to maximize possible reimbursement.
Mental health benefits may be administered by a plan other than your primary healthcare benefits. We highly encourage each patient to familiarize themselves with their mental health benefits and confirm the participation status for the provider they wish to see. Patients are ultimately responsible for charges incurred as a result of services rendered with an out-of-network provider.
- Sagamore / IHN
Contact our Billing Department
Please contact your insurance directly if you have questions in regards to the way your claim was processed.
Please note: Therapist, doctors, nurses, clerical staff, and/or billing department personnel are unable to waive or modify fees. The decision rests with the administration of Indiana Health Group. The patient must complete and submit an account dispute form available either online or by clicking on contact us and choosing send a message to the office manager.
Please be aware that mental health benefits are normally different from your medical benefits. Indiana Health Group does not verify insurance benefits information until after your initial visit with our group. It is your responsibility to verify and familiarize yourself with your mental health benefits.
Indiana Health Group will file claims with your primary insurance company upon submission of proof of insurance, however the patient is ultimately responsible for all charges incurred with Indiana Health Group. Indiana Health Group will file secondary insurance claims for contracted insurance carriers only.
Private Pay Services / Out of Network Insurance Billed Services – Payment is due at the time of service.
Insurance Billed Services – Co-payments & deductibles are due at the time of service.
Patients will be unable to schedule appointment is you have 2 outstanding co-payments, an account balance of $100 or more, or if your account balance is greater than 30 days past due after insurance processing.
Accounts in violation of our financial policy are subject to placement with a third party collection agency. The patient will be responsible for reasonable attorney and collection fees.
Authorization for Treatment
We would encourage you to contact your insurance carrier to see if an initial authorization is required. It is the patient responsibility to obtain an initial authorization for services if required by insurance.
• Payment is due at the time of service.
• The patient is responsible for all charges incurred with IHG.
• IHG is not responsible for obtaining authorization for out of network services.
• Discounts will not be applied to out of network claims.
• IHG is not responsible for processing errors caused by the insurance on out of network claims.
• IHG is not responsible for pursuing payment from the insurance for out of network claims.
No Show / Late Cancelled / Late Arrival
A charge of $50.00 up to full fee will be applied for EACH appointment cancelled with less than a 24 hour advance notice as well as appointments in which you arrive past your scheduled appointment time. A charge of $75.00 up to full fee will be applied for EACH appointment that is missed without notification. The amount of the charge is left at the discretion of the provider. Payment will be due within 10 days of the missed/late-cancelled appointment or at your next visit, whichever occurs first. Multiple missed, late-cancelled, or late arrival appointments will result in an inability to continue to provide services to you.
Telephone consults are not billable to insurance carriers. Full fee is due prior to the telephone consult. Payment can be made over the telephone via credit/debit card. The patient is to supply the telephone number in which to be contacted, Indiana Health Group staff will contact the patient at the time of the appointment, conduct check-in procedure, and the call will then be transferred to the therapist/doctor for the consult. Should the patient not be available a missed appointment charge will apply.
Forensic / Court / Legal
A $500.00 retainer fee is required. Hourly individual provider fees may vary however, these fees will have a minimum of two times the provider base rate. Payment in full is due at the time of scheduling. Fees are non-refundable unless cancelled 48-hours in advance.
Document review with signature only will be charged a minimum of $10.00. A fee of $50 per every 15 minutes of time required to complete paperwork (including but not limited to work, disability, FMLA, life insurance, etc) will be charged for all forms completed outside of your schedule office visit. Payment in full is required prior to the release of the completed paperwork.
A current written release of information is required for all requests. All requests for medical records will be charged according to Indiana State Law. Payment is due prior to the processing of your request. There is no charge for records released directly to another healthcare professional for treatment purposes.
Services provided outside of scheduled appointment times. (A consultation either via telephone or in person with parties outside of Indiana Health Group, such as family members, school officials, attorneys, physicians, etc.) A release of information is required.
All checks returned to us for non-sufficient funds will result in a $30 processing fee. The original check amount plus the processing fee must be paid at your next appointment o within 10 days, whichever occurs first. Indiana Health Group reserves the right of check refusal.