Out-of-Network Insurance Reimbursement
Filing an out-of-network insurance reimbursement claim can take 30 minutes of confusing paperwork, or about a minute with Reimbursify. We simplify the entire process so you recover more of what you pay out of pocket.
The basics
Most health plans fall into two types. HMO plans only cover providers inside their network. PPO plans let you see any provider, including out-of-network practitioners, and reimburse part of the cost.
To get paid back for an out-of-network visit, you file a claim form specific to your plan. Do it enough and you satisfy your out-of-network deductible faster, unlocking a bigger share of your benefits.
How it works
From superbill to EOB, we keep every out-of-network claim moving, so you satisfy your deductible faster and see more of your benefits.
After your appointment, get the receipt or superbill from your practitioner, it has every detail your claim needs.
Open the app, snap or enter your superbill details, and submit your out-of-network claim in about a minute.
Your insurance company typically processes claims in four to six weeks. Watch progress right from your dashboard.
When your Explanation of Benefits (EOB) arrives, tap APPLY EOB to log what went toward your deductible and what you were reimbursed.
Common questions
It's the itemized receipt from your practitioner. It contains all the codes and details you need to file an out-of-network claim.
After you file, most insurance companies process a claim in about four to six weeks, then mail your EOB and any reimbursement check.
Most plans accept claims up to a year after your date of service, though some are moving to six months. Check with your plan for specifics.
Each approved claim counts toward your out-of-network deductible. Once you meet it, your plan reimburses a larger share of every visit.
Yes. Reimbursify is fully HIPAA compliant and encrypted, so your personal and health information stays protected end to end.
Patients file from the app. It's the simplest way to fulfill your deductible faster and optimize your health insurance benefits.
Learn the insurance basics, then file your claim in about a minute.