Returning Calls for Appointment Requests
- The most efficient way to get in touch with us is through our contact tab for appointment requests. Check the website to see if we’re in the office. If you leave a message we will respond within one business day. We can most efficiently respond to the online request form found here.
- If you cannot wait for me to return your call and are experiencing a life-threatening emergency, please call 911 or proceed to your nearest emergency room.
- Credit cards, cash, and check are accepted for payment. Payment is due at the time of service.
- Payment for gestational carrier screenings, donor screenings, and intended parent consultations is required regardless of whether any of the parties are cleared psychologically to proceed for treatment.
- For all appointments, a deposit is required prior to booking an appointment and we can discuss that further once an appointment has been scheduled.
- For gestational donors and intended parent consultations payment is required in full prior to your appointment.
Rates & Insurance Info
- Please contact my office for therapy rates which differ from consultation and donor and surrogacy screening.
- Please note that for greater patient privacy, Dr. Chambliss does not participate or contract with any insurance companies. All services are direct and fee-for-service with complete payment between patient/client at the time of receiving services. We require a working credit card on file, with all paperwork completed prior to scheduling for services. Please note our office policies requiring late cancellation fees and no show fees when scheduling, as noted in your consent forms.
We will provide you with a Good Faith Estimate related to your specific needs for which service you need when you reach out to us. We have three business days to comply with the request for a Good Faith Estimate, and you may request that it be sent to you securely by secure email or in written form, by the US postal service. This estimate is required by federal law as of January 1st, 2022. The “No Surprises Billing Act” was passed on December 27th, 2021, and health care providers have one year to comply. Requirements for this act are currently evolving, but this Act does not change what services will cost you as consumer and/or what they will generate for clinicians. Due to the uncertainty of the law, and based on consultation with different opinions from multiple attorneys, health care providers must be prepared to pivot if necessary when offering patients explanations related to this act. At this time, it remains unclear whether Part I of the Act only applies to emergency care facilities and hospitals, or if it also applies to psychologists in private practice.
The current administration has agreed to provide leniency to healthcare providers who are making their best effort to comply with the Act until December 27th, 2022, as the law may be amended or codified. We are still waiting on guidance from our professional organizations and Congress. You may see a copy of the Act here. If you wish to learn more about the act, you can go to http://www.cms.gov/nosurprises/consumers.
At this time, it remains unclear whether individuals wishing to be provided with a receipt to their insurance companies for potential reimbursement are required to receive a Good Faith Estimate, so our practice will be providing you with one. We are also unsure whether Act I of the “No Surprises Act” applies to licensed psychologists or only to hospitals and providers who are out-of-network but providing care to individuals at an in-network facility. This portion of the Act requires all individuals who are using providers who are out-of-network to sign an Opt-Out of Insurance Form if they are uninsured or plan to not use their insurance. The law is unclear on how the opt-out form applies to individuals who are seeking psychotherapy or intended parent consultations AND have out-of-network coverage.
Unfortunately, the law requires us to diagnose all potential patients on the Good Faith Estimate (GFE) when it is provided to them. It is impossible for mental health providers to do this without first meeting a patient and providing services and it is not ethical for us to do so. For this reason, all GFEs will contain a Z-code, which simply states you plan to have an encounter with us and does not diagnose you with a psychiatric diagnosis without seeing you. Additionally, no mental heath provider can provide you with a true GFE of how many times you will need to be seen for psychotherapy prior to meeting with a patient, and you are free to terminate services with a mental health professional at any time. You are under no obligation to receive services after receiving a GFE and it is not considered to be a contract.
The advantage of working with a provider who is out-of-network include the following advantages and disadvantages:
– In-network providers are frequently overwhelmed with large caseloads and not accepting new patients. It often it takes months to get in to see an in-network provider versus a provider who can see you more quickly and does not have direct contact with insurance companies.
– Greater privacy, as your privacy is only required to be maintained by one professional, and not shared with an insurance company.
– A private insurer does not determine or manage the length of your treatment, based on internal case reviews with providers hired by insurance companies that have never met you or assessed you.
– Research indicates that individuals who pay directly for mental health services are more likely to show improvement more quickly as they have a greater investment in their own care. They are less likely to need weekly sessions for a year.Disadvantages:
– For some individuals, receiving services from a provider who is out-of-network is unaffordable. For individuals in this scenario, we can provide you with referrals to someone who can meet your needs, as there are sliding scale services through universities and community mental health centers who can see you at a lower rate if you are uninsured, unable to afford your out-of-pocket cost prior to your deductible for your insurance company, or wish to use to a provider who is in-network.
The “Opt-Out of Insurance” form
Please note that signing this form does not change anything in terms of how the practice has provided services to all patients since the practice became an out-of-network provider one year ago.
Until March 31st, 2022, we are happy to provide you with a receipt for potential out-of-network reimbursement from your insurer for services that may be covered, provided that you have signed the “Opt-Out of Insurance” form. By that time, the federal government is expected to release new updates regarding this legislation, which may or may change out-of-network providers’ ability to provide patients with receipts for reimbursement.
Signing the “Insurance Opt” form indicates that you are aware you are working with an out-of-network provider, and you understand the fees required for these services could potentially be more than working with a provider who is in-network with your insurer. Currently, about 80% of patients seen through this practice receive some form of reimbursement for out-of-network coverage. Signing the form also allows us to collect payment from you directly, with the understanding that you are allowing us to charge you the rate quoted in your GFE. It also states you understand we will not accept payment from your insurance company. If you choose to file a claim, your insurer may send a check directly to you for reimbursement if it is a covered services and based on your plan benefits.
Please note that signing this form is NOT required for services insurance would never cover, such as surrogacy screenings, embryo donor consultations, sperm donor screenings, or oocyte donor screenings. For the examples previously listed in the sentence prior to this one, there is no billable insurance code for those services.
If you have further questions regarding rates or any of the information mentioned on this page, please feel free to email the practice email at [email protected]. We will do our best to give you information as we receive it related to this law. Based on anti-trust laws that advise mental health professionals not to engage in price-fixing, rates are not shared on this website, but will willingly be shared with you when you ask. Thank you!
- Please fill out the contact form for donor, surrogacy screenings, and new patient psychotherapy requests.
- If you are unable to attend a session, please make sure you cancel at least 24 hours beforehand. Otherwise, you may be charged for the full rate of the session.