Reimbursify
Simple Reimbursement for Out-of-Network Mental Health Care
At Wily Wellness, we believe that high-quality, thoughtful mental health care should be accessible—even when it falls outside the bounds of insurance networks. If you have a PPO insurance plan with out-of-network benefits, you may be eligible for partial reimbursement for your sessions with us.
To help streamline the process, we've partnered with Reimbursify, a user-friendly app that takes the headache out of submitting claims to your insurance provider.
What Is Reimbursify?
Reimbursify is a secure, app-based platform that makes it easy for patients to file Superbills (medical receipts for out-of-network services) with their insurance. No more complicated paperwork or confusing insurance portals—just a few taps on your phone, and your claim is submitted.
Whether you're receiving psychiatric care, medication management, or psychotherapy, Reimbursify helps ensure you're making the most of your benefits.
How It Works with Wily Wellness
Using Reimbursify is quick and straightforward:
Download the Reimbursify app on your phone (available on iOS and Android).
Create an account and enter your insurance information.
After your appointment (on monthly), you'll receive a Superbill from Wily Wellness with all the necessary service and billing codes.
Upload the Superbill through the app and follow the prompts to submit your claim.
Reimbursify will keep you updated on the status of your submission—and notify you when your reimbursement arrives.
Bonus: You can check your insurance plan's out-of-network eligibility right in the app before you even get started.
What You’ll Need
To file your reimbursement claim, you’ll need:
A copy of your Superbill (we provide this after each session or monthly)
Your insurance member ID and plan details
A free Reimbursify account
Bonus: If you have an FSA or HSA card, you can use it to pay for sessions up front.
Why Use Reimbursify?
Patients love Reimbursify because it:
Simplifies and speeds up the reimbursement process
Lets you track claims in real time
Helps maximize your insurance benefits
Avoids the frustration of calling insurance customer service
It’s an ideal solution for patients seeking out-of-network reimbursement for mental health care, whether you’re working with a psychiatric nurse practitioner, psychiatrist, or therapist.
How to Estimate the Amount of Reimbursement
Every insurance plan reimburses at different rates. To find out what your plan might reimburse you for our services, follow these steps:
Step 1: Call the Number on Your Insurance Card
Look at the back of your insurance card. Call the member services or customer service number.
You can say:
“Hi, I’d like to ask about my out-of-network mental health benefits.”
Step 2: Tell Them What Type of Provider You’re Seeing
Let them know you’re seeing a psychiatric nurse practitioner (sometimes they’ll ask if it’s a medical doctor or a therapist).
You can say:
“I’m seeing a psychiatric nurse practitioner for medication management and psychotherapy.”
Step 3: Give Them the CPT Codes
CPT codes are the billing codes we use to describe your appointments. Ask them what they will reimburse for these out-of-network codes:
99203, 99204, 99205 for the initial intake appointment
99213, 99214, or 99215 for follow-up appointments with evaluation and management
90833 – Psychotherapy (add-on code for 25-minute sessions)
90836 – Psychotherapy (add-on code for 50-minute sessions)
90838 – Psychotherapy (add-on code for >50-minute sessions)
*** Most sessions will be a combination of these codes
You can ask:
“What is my reimbursement rate for these CPT codes if I see an out-of-network provider?”
They may also ask for the place of service, which is usually:
02 – Telehealth
11 – Office visit
They may ask for our Zip Code: 85716
Step 4: Ask About Deductibles and Coinsurance
Ask:
“Do I have an out-of-network deductible? If so, how much of it have I met?”
“After I meet my deductible, what percentage of the cost will be reimbursed?”
Example: They might say, “After you meet your $1,000 out-of-network deductible, we reimburse 60% of the allowed amount.”
Important: Don’t forget that your deductible resets January 1st every year.
Step 5: Ask About Out of Pocket Maximum
This is the amount of money that you pay out of pocket in total before your insurance starts reimbursing you 100% of all out of network costs.
For example you might have a deductible that's $1000 (which you meet at some point during the year). After that, insurance might reimburse you 80% of the allowed amount until your total out of pocket maximum is reached, for instance $4000. After that, your insurance would pay 100% of the covered costs.
Of note, anything above the allowed amount per session will not be factored into these insurance calculations. For example, if the allowed amount from your insurance company is $125 for the billing code 99213 and we bill $200 for 99213; then you would be responsible for the difference of $75 per session, which will not be included in the insurance calculations.
Step 6: Ask What Documents You Need to Submit
Tell them you will be using Reimbursify to submit claims.
Ask:
“Can I submit a Superbill to get reimbursed? What information needs to be on it?”
***Wily Wellness includes everything needed on your Superbill (CPT codes, diagnosis codes, our NPI numbers, etc.)
Step 7: Write Everything Down
Take notes! Write down:
The date and time you called
The name of the person you spoke with
What they said about your benefits
This helps if you ever need to follow up later.
Helpful Tip: Use Reimbursify to Make It Easy
After your appointment (or monthly), you’ll get a Superbill from Wily Wellness. You can use the Reimbursify app to submit it—no need to mail or fax anything.
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