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Insurance Reimbursement

Out-of-Network Guide
Disclaimer: Bright Minds Assessment Center of Dallas is out-of-network with ALL insurance companies. This guide is provided to assist you with calling your insurance company to check on your out-of-network benefits. Bright Minds of Dallas is not responsible for the information obtained using this guide.

At each session payment is due, unless another payment plan has been established. Thus, the
client will pay their fee with cash, check, or credit card. If form of payment is a credit card,
clients will incur the 3% credit card processing fee. Clients have an option to request an
itemized receipt of payment for services which will be provided at the end of each month. This
may be used to submit to your insurance company. It is the client's responsibility to handle this
submission.

 

Information that will be provided on your requested receipt of payment:

  • Provider's name

  • NPI number

  • license number

  • Federal Tax ID number

  • DSM-5 diagnosis codes

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