Clients | Thrizer

FAQ

What is Thrizer?

Thrizer is a modern payment application for therapists and therapy-goers. The platform integrates with health insurances, so you are automatically reimbursed for your out-of-network therapy costs by your insurance after an appointment.

We automate and improve the out-of-network process for you so that you can focus on what matters.

How does Thrizer work?

Thrizer works by acting as a payment method that links with your health insurance. You can think of us like a PayPal for therapy.

Use Thrizer to pay for your out-of-network therapy sessions. Any time you pay for an appointment, a claim is submitted to your insurance directly. ‍All claims are easily tracked from your Thrizer account and managed by our expert team.
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Once you meet your deductible (if any) you will only be charged a co-pay for your therapy sessions, rather than paying the full fee.
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If you prefer to continue to pay in full and wait for reimbursements, you have that option as well.

How much does Thrizer cost?

Thrizer is a flat 5% fee (of your provider's rate) if you want to pay your co-pay at the time of the appointment. This fee is added on to your co-pay at the time of payment.

If you prefer to pay in full and wait for reimbursements, Thrizer is totally free!

What are out-of-network benefits?

Out-of-network benefits is coverage or benefits by a health insurance plan for services that are provided by healthcare providers who are not in the insurance plan's network.

Similar to in-network benefits, out-of-network benefits will typically will include a deductible and a co-insurance or copay. The amount of coverage for out-of-network benefits varies depending on the insurance plan.

With out-of-network services, you will need to pay your provider's fee and then wait for your insurance to reimburse you in part or in full for the service.

When you enter your insurance information in your Thrizer account, your benefits will automatically be checked so know exactly what your plan covers and what to expect.

How do I know if I have out-of-network benefits?

Once you enter your insurance information in their Thrizer account, the platform runs an automatic OON benefit check. You will receive an email breakdown of the benefits, which include the deductible amount, co-insurance, and estimated reimbursement amount.

Alternatively, you can email our support team the client's insurance card and we can check benefits for you as well!

What is a deductible?

A deductible is a set amount of money that you must pay out-of-pocket for healthcare services before your insurance coverage begins to pay for those services.

Once you meet your deductible, your insurance plan will start covering some or all of the costs of the covered healthcare services you receive. The amount of the deductible can vary depending on the insurance plan and may be set annually or per-benefit period.

Your deductible for out-of-network services is separate than your in-network deductible, and only out-of-network services will work towards this deductible.

What is the estimated reimbursement rate and where does that come from?

The estimated reimbursement rate is calculated from the your co-insurance and "allowed rate" for out-of-network mental health services. These quotes are just estimates based on our data and experience with insurances and their allowed amounts for different services.

What is an allowed rate?

The allowed rate is the maximum amount that the your insurance will accept and reimburse for a specific medical service. It is not necessarily the same as the amount that your provider charges for therapy.

Allowed rates vary by insurance company and insurance plan, and are generally decided on a per-case basis at the time of the first claim.

Do I need to submit claims myself?

Nope! Insurance claims for your appointment are automatically generated and submitted to the client's insurance upon your successful appointment charge! No further action is needed from their end or your end.

How can I check my claim statuses?

You can view all previous claims, their status, and their result directly from your Thrizer account. If there are more specific questions or concerns, our support team would be happy to assist!

How do you handle claim delays and denials?

Claim delays may happen for a variety of reasons, and can happen on occasion. Claim denials are rare, but may happen on occasion.

In either case, our team provides end-to-end support so that the reason behind the delay or denial is clear and the resolution is clearer. Our team works hard to resolve any pending issues immediately and expedite claims accordingly.

How do I receive insurance reimbursements?

When your insurance issues reimbursement payments to you for your therapy appointments, it will be routed directly to the bank account you connect to Thrizer.

Note that with Thrizer, your are only responsible for a co-pay at the time of the appointment. Thrizer waits for reimbursement for you, unless you choose to wait for reimbursement yourself.

How long will it take for my insurance to reimburse me?

Reimbursement times vary widely by insurance company. Major payers, such as United Healthcare, Aetna, Cigna, and certain BCBS plans often process claims and issue reimbursements within a week of the appointment. Other, smaller payers may take up to 4 weeks to process claims.

Note that with Thrizer, your are only responsible for a co-pay at the time of the appointment. Thrizer waits for reimbursement for you, unless you choose to wait for reimbursement yourself.

What do I do if my reimbursement is delayed?

Claim or reimbursement delays are rare, but our team is here to support if this happens. Thrizer's support team is usually notified if a claim is delayed for any reason, and resolve the blocker automatically. If you have further questions or concerns about claim delays, please reach out to help@thrizer.com and we will help you out!

Focus on you.
Not the cost
of therapy.

How It Works

Enter insurance information

Receive an instant benefit breakdown

Upload superbill

Receive reimbursement

Check Benefits Instantly

Automatic Claim Submission

Real-Time Claim Statuses

Streamlined Reimbursements

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Thrizer+ can help.

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