Insurance & Billing Disclosures, and

Out-Of-State Licensure Notice

Financial Policy & Insurance Disclosure

(Headway)

How insurance verification, copays, and billing are handled via Headway. Cancellation/no‑show policy and Good Faith Estimates for self‑pay patients.

Insurance and Billing

via Headway.

  1. We partner with Headway to verify insurance, manage eligibility, and process payments.

  2. You will receive scheduling and billing communications from Headway.

  3. Copays/coinsurance/deductibles are determined by your insurance plan.

  4. We currently DO NOT accept Medicare/Medicaid.

Self‑Pay and Good Faith Estimates.

(No Surprises Act)

  1. If not using insurance, you are entitled to a Good Faith Estimate (GFE) of expected charges.

  2. Request a GFE in writing at [ info@balancedmatterpsych.com ]

Cancellations and No‑Shows.

24 business‑hour notice required to cancel or reschedule.

Late cancellations/no‑shows may be charged [fee].

(not billable to insurance)

Payment Methods.

Payments are collected securely through Headway. Outstanding balances must be resolved before follow‑up appointments.

Billing Questions?

Billing inquiries?

Email [ info@balancedmatterpsych.com ]

Call Us at: +1 (413) 305-7340

or Sign In To Your Patient Portal.

No Surprises Act

Good Faith Estimate Notice

Learn your rights to receive a Good Faith Estimate for expected charges if you are uninsured or not using insurance.

Your Rights.

If you are uninsured or choose not to use insurance, you can receive a Good Faith Estimate of expected charges before services.

Check to see if we accept your Health Insurance.

Disputes.

If the actual bill is $400+ above the estimate, you may be able to dispute it through the Department of Health & Human Services (HHS) Patient‑Provider Dispute Resolution Process. Visit the HHS Website to learn more.

For help, contact info@balancedmatterpsych.com.

or visit the HHS GFE Guidance Document.

Out Of State Care & Licensure Notice

Care is limited to patients physically located in Massachusetts during the telehealth session. You must confirm your residence address for telehealth appointments.


More Questions?

Don’t hesitate to Email Us at: info@balancedmatterpsych.com

or Call Us: +1 (413) 305-7340.