FAQ's & Information
The FAQ section is an attempt to answer some common questions asked by patients when they are considering therapeutic services at P&G Clinical Services, PLLC. If after reviewing the FAQ’s, your question is not answered, feel free to contact the office and I will do our best to answer it.
What type of payments do you accept?
BlueCross BlueShield, Aetna, Carolina Behavioral Health Alliance, Coventry, First Health, Multiplan, Medicaid, Tricare and United Behavioral Healthcare. Out of Network Insurance, Self Pay, which includes: Cash, personal checks, Credit Cards (American Express, Visa, MasterCard, Discover) are acceptable for payment at the time services are rendered.
We highly recommend that you contact your carrier and ask questions so you know what to expect when you come to the office. We highly recommend that you call your insurance company to assure that your specific policy covers our services, as each policy is different regardless of the insurance company. P&G Clinical Services is not responsible if your claim is denied.
Be aware that if your check bounces, you are responsible for all fees including an additional $30.00 charge and your checks will not be accepted again. For credit cards, and debit cards, you will be charged a service fee.
We also offer patients with financial need sliding scale fees, which ranges from $65 to $100 per session, based on the household income and the size of the family.
How do I qualify for the sliding fee rates?
To begin the Sliding-Fee application process, simply download the Sliding Fee Discount Application below and Return the completed application and all supporting documents to: P&G Clinical Services, PLLC. , 5700 Executive Center Drive, Suite 100, Charlotte, North Carolina 28212 Or email the completed form and all supporting documents to firstname.lastname@example.org
CLICK HERE TO DOWNLOAD THE APPLICATION
Acceptable Income Verification
· Recent Federal tax return
· IRS form W-2 or 1099
· (2) Current paystubs
How do I get started?
To begin the Sliding-Fee application process simply download the appropriate form below and take it with you to your next scheduled visit.
What if my insurance is not listed?
We can still see you but you will need to filled "Out-Of-Network", which requires you to pay out of packet but allows you to see your therapist and receive reimbursement directly from your insurance company.
What is Out-of-Network?
Many insurance companies provide out-of-network benefits for their patients. It pays to explore this as an option. Many patients take advantage of this benefit, which allows them to their therapist and receive reimbursement directly from their insurance company. Please, check with your insurance company prior to your first appointment to find out if these benefits are available to you and how you will file documentation with them after your session. If they are available to you, P&G Clinical Services is willing to provide you with an invoice and any documentation required for you to receive reimbursement.
Do I have to pay any charges up front?
We collect all payments including copayments at the time of service, and they vary between the many health insurance policies on the market. Please check your policy details to determine the deductibles, coinsurance and copayments you will owe for services rendered. If you have a plan where you must meet a deductible before services are covered in full, and have not met your deductible, we ask that you pay at the time of service.
Can I see my therapist and pay later?
No, we require payment at the time of service- before your session.
Can I get an invoice for my session?
Yes, once you check in for your appointment and make your payment.
Why was my claim denied?
If you have active coverage and a claim is denied, contact your insurance carrier immediately for an explanation of how your claim was processed and why it was denied. Most of the time it is denied only because they need more information or there is an error with the spelling of the child’s name or date of birth, for example. Once your carrier has been contacted, you will have to ask them to reprocess the claim. We cannot re-file it once it has been denied.
What if my insurance does not pay, am I still responsible for the bill?
Yes, you are. Insurance quotes are not a guarantee of payment and coverage is not fully assessed until the claim is received.
What about missed appointments, will my insurance cover this?
No, Insurance companies will not pay for missed appointments and this is your responsibility as the patient. We require 24 hours notice for you to cancel or change your appointment. You can call or email the main office or your therapist. Unfortunately, if you notify us in less than 24 hours or do not show for your appointment, you will be charged the full fee.
What if my therapist is not accepting new patients, can I be placed on a waiting list?
Yes, We can add you to our therapist's waiting list. This means that your name and contact information will be taken in the order in which it was received. Once a therapist is accepting new patients, you will be contacted when your name is reached on the list. Keep in mind that the waiting time depends on the length of the list and daytime and early afternoon appointments have much shorter wait time, as do bi-weekly appointments.
How do I get started?
Your first step is to call us to schedule your initial appointment. You will be asked to provide some initial information over the telephone to help us evaluate if P&G Clinical Services is your best treatment option. You may then be scheduled for an initial evaluation session, which provides an opportunity for you to build rapport with the therapist and provide him/her with some background about yourself and the reasons you are seeking therapy. In addition, the intake therapist will be able to answer your questions regarding services, fees, confidentiality and what to expect in therapy.
We are interested in developing a collaborative relationship with you in which we try to decide together what kind of treatment would be best for you. However, not everyone will be referred for continuing therapy at P&G Clinical Services. We make decisions on what we believe will be best for the patients.
At the end of that first session, if we decide that it is in your best interest to move forward working with the assigned therapist, you will decide on a mutually agreeable time slot for your therapy sessions; typically, the patient and therapist will meet once a week, and each session will last approximately one hour. At your second appointment, you will begin working with your therapist to set goals for your therapy experience and then begin working together toward achieving them.