Frequently Asked Questions
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We are so glad you're here. We look forward to connecting with you! To get in touch with us, submit a [contact form]. Please allow 2 business days for a response.
Existing Clients: Sign in to your SimplePractice client portal [here].
Psychological Evaluations: Please contact us [here].
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We ask that at least 24 hours notice be given for appointment reschedules/cancellations, including weekend days. We understand that things happen, each client is permitted one no-show or late cancellation grace occurrence per calendar year, which renews annually. After this allowance has been used, a standardized fee of $100 will be charged for any subsequent no-shows or late cancellations, regardless of insurance provider.
Providers reserve a time commitment exclusively for you, therefore your session time may be lost. If you are late for a session by 15 minutes or more, you may be asked to reschedule a session.
Out of respect for others & to ensure as many folks have access to treatment as possible, we ask that you please contact your provider to cancel/reschedule an appointment as soon as it becomes necessary.
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Yes! All clinicians at Three Oaks Behavioral Health & Wellness are in-network providers for individual therapy with Blue Cross Blue Shield (BCBS), Aetna (including the NC State Health Plan), and Evernorth (formerly Cigna).
Our practice is not in-network with: Aetna CVS Health, HealthyBlue, BCBS Blue Value, Blue Local, Blue Home, United, Tricare, Medicare and Medicaid. At this time, couples and family therapy and psychological evaluations are self-pay only.
It is ultimately the responsibility of the client to monitor their insurance benefits (meeting deductible, copay changes, etc). We highly encourage that you also reach out to your insurance company to verify the same estimated financial responsibility. Our group NPI is 1528563194 and the primary CPT codes used for outpatient therapy sessions with our providers are 90837 and 90791. When you call your insurance company and provide them with the NPI & CPT codes, they should provide you with the same verification information our referrals team provides.
Any relevant deductible, copay or coinsurance amount will be expected at the time of your therapy session and will be processed by your provider.
We ask all clients to notify us as soon as possible when they believe they have met any relevant deductible or have any change to their insurance as this will impact the amount owed for each session. Inaccurate billing information could lead to outstanding invoices that are the responsibility of the client to reconcile. We want to prevent outstanding balances by ensuring all insurance & billing information is accurate and up-to-date.
Thank you for partnering with us in this effort! -
Individual Therapy
Initial Session (60-75 mins): $200
Ongoing Sessions (50-53 mins): $160Couples/Family Therapy
Initial Session (60-75 mins): $230
Ongoing Sessions (53-60 mins): $200Psychological Evaluations
ADHD Evaluation: $1,925
Learning Disorder Evaluation: $2,275
Autism Evaluation: $2,625
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Cash, check, credit card, Flex Spend Accounts (FSA) and Health Savings Accounts (HSA) are accepted forms of payment.
*Regardless of payment method, we ask that a credit card be saved on file. -
We are dedicated to providing quality mental health care services & do not want finances to be a barrier to treatment. Some of our therapists offer flat-fee, reduced rate sessions for select appointment times and clients in need. Please ask about the availability of our clinicians' reduced rate fees & payment plan options during your first communication with us.
Self-paying clients, or those who are considered out-of-network with our contracted insurance plans, are eligible for reduced fee services. We are unable to offer payment plans to clients utilizing insurance as that would put us in violation of our contracts.
Learn more about working with our amazing interns [here]!
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Please reach out to your billing specialist by email.
Region A (Downtown Raleigh, East Raleigh, North Raleigh, West Raleigh, Midtown)
regiona@threeoaksbehavioralhealth.com
Region B (North Durham, South Durham, Chapel Hill)
regionb@threeoaksbehavioralhealth.com
Region C (Telehealth, Garner, Apex)
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If we do not accept your current insurance plan, you may be eligible to use your out-of-network benefits. We are happy to provide you with a "superbill" for your services. (A superbill is an itemized form- similar to a receipt- that is used to create a healthcare claim, which can then be submitted for potential reimbursement.)
Please follow the steps below to determine your own reimbursement and benefits made available to you from your insurance provider. Three Oaks' Group NPI number is: 1528563194. Keep careful records of your conversation in the event you need to appeal a future decision by the insurance company regarding reimbursement. Call the number on the back of your insurance card to reach the Benefits Department and ask the following questions:
What is the representative's name and extension number?
Does my policy cover an Out-of-Network, Licensed Clinical Mental Health Counselor/Licensed Clinical Social Worker/Licensed Clinical Addiction Specialist/Certified Rehabilitation Counselor?
My therapist is willing to provide a statement, or superbill, of Session Dates Attended, the CPT code, and the diagnosis. Is this acceptable to the insurance company?
Does my policy cover Individual Psychotherapy (CPT code: 90834 or 90837)?
What mental health diagnoses are NOT reimbursable?
How many sessions are covered per year?
What is the lifetime maximum for mental health benefits?
What is my Out-of-Network deductible?
What is the allowed amount of the fee?
What percentage of the allowed amount will be reimbursed?
How do I file a claim?
Many insurance companies will reimburse a percentage of the total fee paid. For example, your company may reimburse you 80% of the total fee paid ($80 of the total $100 fee). Other companies will substitute the $100 fee for what they deem appropriate, regardless of what you paid. For example, your company may say that they will reimburse you 80% of the "allowed amount of the fee." (You paid $100 for an individual session, but your insurance company only allows $80; therefore you will be reimbursed 80% of the $80, or $64.) -
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No, Three Oaks does not currently offer psychiatric support. We are happy to share a referral list with you! If you would like a list of trusted referrals for prescribing providers, please complete the online contact form.
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Initial Session/Clinical Assessment: Before your first appointment, you will be sent an invitation to access your client portal via SimplePractice. Please ensure that all documentation is complete prior to your first visit with us. All intake documentation is completed electronically. Please connect directly with your provider if you need support completing the intake forms and requested documentation.
Ongoing Sessions: Method of payment (if this differs from what is stored in your client profile); If at any time your insurance coverage changes, please let us know as soon as possible in order to avoid billing discrepancies.
Many clients can benefit from keeping a journal throughout their therapy visits. Journaling tends to be very helpful since it serves as a single, personal place to track happenings throughout the week. You're more than welcome to take notes during sessions with your provider if this feels right.
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If you plan to use health insurance to pay for treatment, insurance companies and employee assistance programs often require that you receive a mental health diagnosis in order to access benefits. This mental health diagnosis becomes part of your permanent medical record. We will discuss and inform you of any relevant or applicable diagnosis. Please consider this information when determining whether private pay, or filing with your insurance, is the desired payment option for you. A diagnosis can also be provided, upon request, for clients participating in private pay sessions.
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Treatment length varies and depends largely on your therapeutic goals. You may prefer brief, solution-focused methods and can enjoy "results" in 4-6 weeks. Practicing & learning new skills are likely to result even after your first session. You may also utilize these visits as a way to explore and brainstorm ideas, thoughts, and beliefs or face larger, more complex issues while utilizing therapeutic benefits for a longer period of time.
We often lightheartedly say to our clients, "Our best day is when you come in and fire us." This means that you have courageously engaged in treatment and have found whatever it is you were seeking. In accomplishing what you were striving for, you can now enjoy a life of freedom and balance. The achievement of this state of healing will vary for each person. For each individual, the amount of time it takes to find that place of peace is different.
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Yes, with a court ordered subpoena signed by a judge, we will make court appearances & provide testimonies under subpoena in Wake County at the rate of $1,500 per day. Appearances outside of Wake County will incur additional fees.
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If you are a current client and need to request copies of your medical records, please note that all requests must be submitted in writing with a signed release of information form. You can find this form here. Once we receive your completed form, we will process your medical records request as soon as possible. We process requests in the order they are received. Please allow up to 30 days for processing in accordance with federal and state regulations. If you are a healthcare provider needing records for treatment purposes, please fax your request to 919-516-0057. If you have questions about the status of a request that you have already submitted and it's been over 30 days, please leave your name, date of birth, a callback number, and the date you submitted your request. We will respond within 72 hours with a status update on your claim. Please note if it has not been 30 days since your first request you may not receive a call back. You can also follow up via email at medrecords@threeoaksbehavioralhealth.com. We appreciate your understanding and partnership. Your privacy and satisfaction are our top priorities.
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We [therapists, helpers, human-facing workers] deserve better. Three Oaks Behavioral Health & Wellness is on a mission to create a workplace where therapists can practice their calling while feeling supported, balanced, and nourished; resulting in truly extraordinary work and client care that does not contribute to or promote burnout. Global goal: play our part in helping as many HELPERS stay engaged in the mental health field, and enjoy longevity in the industry, as long as possible. We believe that when helpers are cared for, they are able to practice, grow, and develop their craft; leading to excellent client care and outcomes. Three Oaks' Core Values can be found [here].