Office Policies
Appointments
Payment & Fees
Superbills
Appointments can be scheduled online using our website, email or by call during normal business hours:
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Business Hours:
We are open Mon-Fri , 9am to 5pm PST. Closed on weekends and most Federal Holidays.
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Cancellations​
If necessary, please contact our office to cancel or reschedule your appointment if less than 24 hours prior to the scheduled time.
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Charges may apply for no-show/no-call, late cancellations within 1-2 business day's notice.
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Late cancellation fees are no greater than the fee of your scheduled visit & is not reimbursable by insurance.
Frequently cancelled or missed appointments are subject to dismissal from the Brown Clinic.
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** We do not accept insurance. **
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Payment in full is due on the day service is rendered, unless other written arrangements are made in advance and agreed upon.
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To secure appointments, all patients must provide a form of payment information which is stored & protected electronically on our secure gateway system Authorize.net
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We are able to process payments using the following credit or debit cards, including HSA and FSA cards.
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Our office is trained to follow HIPAA protocol & is compliant with all patient data- financial, medical and personal health information.
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Contact us for forms needed to release medical records to/from other professionals from our office.
We are considered “out-of-network” & our providers do not take any commercial insurance, Medicare or Medicaid plans.
If you plan to submit your own SUPERBILL form to your insurance provider for reimbursement, 1st contact your insurance provider prior to your appointments to understand the details of your mental health benefits.
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If you are eligible to use your out-of-network benefits, we can provide the form or what is commonly referred to as a SUPERBILL as noted above that you may be able to use to submit a claim with your insurance. These plans vary widely and may reimburse patients; the total cost of each of our sessions depends on your individual plan & deductibles.
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SEE SUPERBILL INFORMATION BELOW
Payment security & Privacy statement
We do not keep a physical record of your financial/credit card information. All payment information is secured by our payment processing partner Authorize.net, which is Payment Card Industry Data Security Standard (PCI-DSS) compliant.
Your privacy is our priority. We uphold strict confidentiality and HIPAA guidelines to ensure your medical and mental health information is confidential. We will not disclose health information without your permission.
Commonly Used CPT Codes & Descriptions for
Out-of-Network Providers &
Services
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Contact us to inquire about fees for specific codes
The total charge for appointments varies according to
your individual provider, time, complexity, appointment types & fee (rate per hour)
Group Practice NPI (Type 2) # 1700394970
EIN #824910459
Location Code: "2" (Tele-health) or "11" (in-office)
90792
initial psychiatric and diagnostic evaluation @ 3 hours
99205,
99354, or 99355
(New Patient Office Visit
= 1 hr + (1 hr) + (1/2 hr. x 2)
90834,
90837
(45 - 60 minutes of individual psychotherapy)
90846
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45-60 minutes of family therapy... without patient present