Claim

A health insurance claim is a request made for direct payment or reimbursement for medical services that an insured person has obtained. Health insurance benefits or payments are obtained after the insured submits a claim to their insurer.

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Mary Breen

Reimbursement

This is when your health insurance pays you back a portion of the cost of therapy. This reimbursement is sent via check, and you would be required to pay your therapist their full fee upfront.

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Mary Breen

Deductible

The deductible is the amount you have to pay before your insurance kicks in. For example, let's say your deductible is $500. That means you will have to pay $500 out-of-pocket first, and once you have paid that amount, your insurance will start to cover 50-90% of the OON services you receive.

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Mary Breen

Superbill

A superbill is an itemized form used by healthcare providers in the United States, which details services provided to a client. It is the main data source for creation of a healthcare claim, which will be submitted to payers for reimbursement.

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Mary Breen