Superbills

Thriveable Therapies is an out-of-network provider. If your insurance plan includes out-of-network speech therapy benefits, you may be eligible for reimbursement for services. Upon request, we provide a monthly superbill detailing your services and payments, which you can submit to your insurance company for reimbursement.

Steps to Submitting a Superbill to Your Insurance Company

1. Pay for Services: Pay Thriveable Therapies directly at the time of service.

2. Get Your Superbill: Upon request, your monthly superbill will be available through the Thriveable Therapies patient portal.

3. Submit to Your Insurance: Submit the superbill to your insurance company through their online portal, by mail, or by email, depending on their requirements.

4. Receive Reimbursement: Your insurance company will process the claim and reimburse you according to your plan’s out-of-network benefits, if applicable.

Please note: Thriveable Therapies does not submit out-of-network claims on your behalf. Reimbursement is not guaranteed and is determined by your individual insurance plan. You are responsible for payment in full at the time of service, regardless of whether your insurance company provides reimbursement.

Questions to Ask Your Insurance Company

If you plan to use out-of-network insurance benefits, we recommend contacting your insurance company before starting services to confirm your coverage and claim requirements. You can typically call the member services phone number on the back of your insurance card to speak with a representative. Insurance plans and policies vary widely, and not all plans reimburse you for out-of-network services. 

Ask your insurance company the following questions to get more information:

1. 1. Does my plan cover out-of-network speech therapy services?

   2. What percentage of the cost is reimbursed?

   3. What is my out-of-network deductible?

   4. Are these CPT codes covered?

      • 92523 – Speech Evaluation

      • 92507 – Speech Therapy

      • 92610 – Feeding Evaluation

      • 92526 – Feeding Therapy

      • 92597 – AAC Evaluation

For myofunctional therapy, ask about both speech and feeding codes.

1. 5. Are there any diagnosis, medical-necessity, or ICD-10 code requirements?

   6. Do I need a referral or prior authorization?

   7. Are there visit limits or annual maximums?

   8. How do I submit a superbill, and do I need any additional forms?

   9. What is the deadline for submitting claims?

   10. How long does reimbursement typically take?

   11. Is there anything else I need to do to receive reimbursement?