FREQUENTLY ASKED INSURANCE QUESTIONS


Practice Info

Tax ID (EIN): 46-4219225 For all clinicians at CBT Spectrum (Legal name: RES Clinical Psychology PC)  

Practice Location: 159 20th St., Suite 1B | Brooklyn, NY 11232

Clinician INFO

Dr. Rebecca Sachs: NY Licence 020065; NPI 1700229663

Dr. Nora Abend-Tepper: NY Licence 020645; NPI 1952717365

Dr. Nicole Alicino: NY Licence 022720; NPI 1487087169

Dr. Dawn Dugan: NY Licence 022144; NPI 1134626781

Therapists with limited permit: Are not licensed, but are under the supervision of Dr. Rebecca Sachs. Superbills will include their limited permit information and state “under the supervision of Rebecca Sachs” with her License information

Intern therapist: Is not licensed nor permitted.

CPT (Procedure) Codes

90791 - 120 minute Intake

90834 - 45 minute session

90837 - 60 minute session

90832 - 30 minute session

90847 - Family Therapy session

90846 - Parenting Session

CLICK HERE to view our complete fees for service.


Are you a participating provider in any health insurance plans? No. We do not accept insurance. We also do not participate in single case agreements with insurance companies. Please note that if you are working with a therapist with a limited permit under the supervision of Dr. Rebecca Sachs and her license, they are not licensed, and insurance may not provide out of network reimbursement for their services. If you are working within intern, your insurance will not provide out of network reimbursement for their services. It is best to call your insurance company before making an appointment so that you can fully understand what the cost will be to you. A sample conversation you can have with your insurance company could be:

 “I am going to a clinical psychologist for an initial intake and likely follow up with weekly psychotherapy. She does not accept any insurance so I would like to know what my out of network benefits are. Dr. Sachs' NPI # is 1700229663, and the CPT codes that she will most likely use will be 90791, 90834, and 90847. Based on that, can you tell me what percentage/dollar amount I can expect to be reimbursed?"

Some follow up questions:

1. Is there a cap (maximum amount) you will pay for an office visit/given year?

2. Do I have a deductible I must first meet? If so, how much is that?

3. Do I need preauthorization? If so, can you grant me preauthorization to see this provider with the information I just gave you.

4. Is there a specific claim form I must use to submit claims and if so, where can I access that?

5. How much time after a doctor’s visit do I have to submit a claim?”

 

Will you provide Superbills to submit to my Insurance for Reimbursement? We try hard to meet the needs of all patients. While none of the doctors accept insurance or Medicare, we will provide any necessary paperwork to submit to your insurance company if you pursue out of network benefits. While insurance companies may provide reimbursement, as is the case with any out-of-network psychologist, there are no guarantees for reimbursement. If your insurance denies reimbursement and working with us becomes cost-prohibitive, please inquire about our sliding scale policy. Superbills are provided to all of our patients on a monthly basis. 

If you are seeing a therapist with a limited permit, insurance may not reimburse for the services they provide. A Superbill will be provided for you with the therapist’s permit information and that they are supervisid by Dr. Rebecca Sachs and her license information.

If you are seeing an intern, insurance will not reimburse for the services they provide. Instead of a Superbill, we will provide you with a receipt for payment you made.

 

Are you a Medicare participating provider? No. We do not accept Medicare. If you are currently enrolled in Medicare and wish to be seen by us, we can enter into a private contract in which you will be charged regular fees. We can provide you with a copy of the Medicare opt-out affidavit upon request.