Lifespan Behavioral Health Services is a preferred provider of CareFirst BlueCross BlueShield insurance networks. If you carry this insurance, our practice is usually an in-network provider and we will submit your claims to your insurance on your behalf. Of course we make no guarantee of payment or coverage and all claims are evaluated individually.
YOU SHOULD ALWAYS CONTACT YOUR INSURANCE CARRIER TO VERIFY YOUR COVERAGE AND BENEFITS BEFORE SCHEDULING YOUR FIRST APPOINTMENT.
We are happy to provide services to patients with insurance other than those listed above. You will be asked to pay for your services at the time of your visit, and we will gladly provide you with an invoice that you may file with your individual insurance carrier for reimbursement according to their rates and your insurance plans.
Payment is due at the time of service and is accepted in the form of personal check, money order or by a credit card issued by: Visa, Mastercard, American Express and Discover. We will provide you with a statement with all of the necessary coding so that you may submit this expense to your insurance company/benefit plan for reimbursement.
Financial Policy Form | Self-Pay Rate Information | Cancellations | Medical Records Requests | Filing Fee
Financial Policy Form
Our practice participates with most major insurance carriers. If you have any questions, whether a specific provider is participating with your health plan, please contact our billing department before services are rendered. Our office will obtain insurance eligibility and benefits prior to your initial visit, and when your insurance changes. Though your insurance plan is a contract between you and them, as a courtesy to you we will submit insurance claims to all your insurance carrier(s). The policy holder of the insurance is financially responsible for all denied and non-payable balances from the time services are rendered and all outstanding amounts due after your insurance(s) have processed your claim, including any deductibles, co-insurances, and co-pays. All financial amounts including self-pay rates are due upon arrival for each visit.
Complete the Financial Policy Form
Self-Pay Rate Information
- Physician: Initial Evaluation – $300.00; Follow-Up sessions – $150.00
- Nurse Practitioner: Initial Evaluation – $200.00; Follow-Up sessions – $100.00
- Physician Assistant: : Initial Evaluation – $200.00; Follow-Up sessions – $100.00
- Therapist: $180.00 / hour session; $150.00 / 45-minute session
Cancellations & No-Show Policy
We request that you provide our office with a minimum of 24 hours’ notice from the previous business day (M-F) when cancelling or rescheduling appointments so that we may offer the time to another patient in need. Appointments cancelled less than 24 hours of the scheduled day/time and no-shows will be subject to the following fees:
- $75 for appointments scheduled with Physician, Physician Assistant or Nurse Practitioner
- $65 for appointments scheduled with any Psychotherapist.
Medical Records Requests
We ask for a minimum of 72 hours’ notice to process all requests for medical records, although requests may take up to 14 days depending on current volume of requests. A Release of Information form is required to be signed by the patient, legal guardian, or Power of Attorney in order to release records. Our office abides by the State of Maryland medical record release fees, which include the preparation fee of $23.18, $.76 cents per page, postage and handling as applicable. These fees are required prior to release of any medical records.
Filing Fee for Completion of Forms, Letters, and Paperwork
In order to ensure proper completion of forms, letters, and/or paperwork, you may be asked to schedule an appointment to meet with your provider in order to fulfill these types of requests. A fee of $40.00 will be charged on all completed forms, payable upon pick-up.