5524 So. Emerson Avenue
Indianapolis, IN 46237
(317) 781-1917
 

Forms

At the time of our first telephone conversation or email exchange I will ask you about the nature of your concerns and determine what scheduling constraints you may have. I will then email you a link to an electronically-secured site for patient registration. There you will be able to complete, electronically sign and submit this documentation to me. Once I have received your registration information, I will contact you by phone, text or email according to your preference to schedule an appointment.

I will be using DocHub.com for sending and receiving these documents which provides the electronic security appropriate for handling HIPAA and financial information.

If you prefer, I would be happy to send you a copy of the patient registration packet by email, however, I suggest that you return the packet to me by U.S. mail or fax, as unencrypted email is not an entirely secure form of communication.

Insurance and Fees

I routinely file insurance claims on behalf of my patients, collecting a co-payment, coinsurance or deductible only when directed to do so by the insurance company. For example, you may have an unmet deductible that must be paid by you before your claims begin to be paid by your insurance company. In most cases my fees are set according to existing contracts I have with any of dozens of insurance companies. Your cost will depend, in turn, on the terms of your insurance policy.

Insurance generally pays for video conference-based counseling just as it does for in-person psychological services. I encourage you to call the customer service phone number on your insurance card directly to determine the extent of your coverage for “tele-health mental health services.” Of course, you are responsible for paying any unreimbursed charges.

Network Participation

Not all insurance companies limit members to receiving services from someone on an established provider panel. Of those that do, I am in the network of providers for the following companies:

Aetna
Anthem (including BlueCross/BlueShield; not Anthem Medicaid)
APS Healthcare
Ceridian Lifeworks Services
Choice Care Network
Cigna Healthcare
Cigna Behavioral Health
CMS Healthcare
Cofinity
ComPsych
Comprehensive Behavioral Care
Conneticut General
ConserviCare
Corphealth
Corporate Counseling Associates
CRN Health
Encore Health Network
FHC Options
Gadrian Corporation
Green Spring
Health Net Federal Services
Healthsource
Hoffmann – La Roche, Inc.
Humana
Indiana Behavioral Health Network
Indiana Care
InteCare, Inc.
Integrated Behavioral Health

IUPM
Life Solutions
Magellan Behavioral Health
Managed Health Network (MHN)
Matrix
MCC Behavioral Care
Mental Health Network (MHN)
Midwestern Behavioral Health Network
Multiplan Managed Care
New Avenues
Northwestern Behavioral Health
Options Mental Health
Personal Performance Consultants
Pierrs
PPOM
Preferred Mental Health Management
Principal Behavioral Health Care
Private Healthcare Systems (PHCS)
Sagamore Health Network
Teamsters Local 135
Tricare
United Behavioral Health
United Behavioral Systems
US Behavioral Health
USA Health Network
U.S. Behavioral Health
Value Behavioral Health
Value Options
Wellpoint Behavioral Health