🙇Patient Insurance - Berry Street & Provider Sourced Patients
👉 This section covers:
Patient Insurance - Berry Street Sourced Patients
Berry Street completes a benefit verification for all patients. If a patient does not have coverage, we will offer a self pay rate and cancel the appointment at least 24 hours prior to the scheduled time. Be sure to read every patient’s insurance eligibility in their chart.
Berry Street notifies all patients of their coverage and any out-of-pocket costs prior to their session with you. If we're not able to communicate benefit check results before their appointment, we will cover the session for the patient and ensure that you are paid for the appointment. If a Berry Street sourced patient runs out of coverage and does not qualify for additional coverage:
You may offer your cash pay rates.
For Berry Street–sourced patients, you are paid 90% of the total amount charged.
You are in charge of managing payments
See our Insurance FAQ resource below for more information:
Patient Insurance - Provider Sourced Patients
Berry Street will complete a benefit verification for Provider Sourced (PS) patients once:
The patient uses your Provider Sourced booking link to schedule an appointment, or
You manually add the patient to Healthie and they complete their intake and submit their insurance information.
Berry Street communicates PS benefit-check results directly to the provider only. It is the provider’s responsibility to communicate coverage information to the patient.
If you need to create a superbill for a Provider Sourced patient, check out this resource.
Missing Insurance for Provider Sourced Patients
To ensure accurate claim creation and timely provider payment, PS patients must have valid insurance information on file before any appointment can be completed.
If a PS patient completes an appointment without submitting insurance information, the Berry Street team may cancel or block future appointments until insurance is added.
This policy prevents situations in which:
Claims cannot be created or submitted
Providers cannot be compensated
Patients continue care without verified benefits
Last updated