Billing & Insurance

FAQS

How does payment work?

If you are using your insurance it is your responsibility to know how your benefits work. 

You are responsible for payment of all services provided by La Plata Family Therapy. Some services may not be covered by your insurance. It is your responsibility to confirm your benefits and coverage by calling the number on the back of your insurance card.

La Plata Family Therapy will bill your insurance using the information on file, it is your responsibility to provide accurate insurance information, if the  policy on file has terminated you will be charged our self pay rate. If your insurer sends payment directly to you, you agree to endorse and forward both the payment and the Explanation of Benefits (EOB) to:
La Plata Family Therapy, 135 Burnett Drive, Unit 4, Durango, CO 81301.

Fees for sessions are set by each provider and will be discussed during your initial 15-minute consultation with the Intake Coordinator. Fees vary depending on provider and service type.

We send out insurance claims as quickly as possible, typically within 72 hrs after your appointment.  After insurance has processed your claim, you will be notified of any remaining balance (e.g., copays, coinsurance, late cancellation or no-show fees). The credit card on file will be then charged for unpaid balances.

DO YOU CONTRACT WITH INSURANCE COMPANIES?

We are in-network with most insurance companies in our area and our office bills these plans directly to the insurance. You would simply be responsible for any co-pay or unpaid services.

We can, upon request, provide you with receipts and a coded visit bill (called “super bills”) which you may submit to your insurance company for out-of-network reimbursement if you choose. We encourage you to check with your insurance regarding the specifics of your policy.

    what payment methods can I use?

    Copays and private-pay fees are due at the time of service unless prior arrangements are made.

    Accepted payment methods: cash, check, Visa, Mastercard, Health Savings Accounts (HSA), and Flexible Spending Accounts (FSA).

    Regardless of payment preference, a credit card must remain on file to cover late cancellation or missed session fees as well as unpaid balances after insurance billing.

    WHAT ARE YOUR SELF-PAY PRICES?

    • Behavioral Health (with one of our Therapists or Counselors)
      • Initial Intake Appointment: $150
      • Follow-up Counseling Appointment: $135
    • Psychiatry
      • Initial Intake Appointment: $300
      • On-going Services: $200 per half hour

    WHO DO I CONTACT FOR BILLING Questions?

    At La Plata Family Therapy we understand mental health insurance billing and work closely with a billing company to make sure your claims are processed effectively for an optimal billing experience.  Mental health billing is different from medical billing and we pride ourselves on communicating effectively with insurance companies so you don’t have to. 

    For billing inquiries please contact our billing partner:

    Their contact information is: 

    Toll Free Phone: 302-526-7601

    Toll Free Fax: 302-397-2848

    Email: [email protected]

    How do you handle Cancellations and No-Shows?

    Our providers block out dedicated time for you. We kindly ask that you give as much notice as possible when you are unable to attend an appointment. We are not able to bill insurance for missed appointments.

    Cancellations due to illness require at least 24 hours’ notice.

    All other cancellations require at least 48 hours’ notice.

    If you cancel late or do not attend your appointment, you will be charged up to the full cost of the session at the current self-pay rate.

    What about reduced rates?

    We can offer a reduced rate for those who experience financial hardship and are not covered by insurance. Your rate will be based on family income and circumstances, provider availability and can be discussed with your therapist.

    Please mention to our intake coordinator if you are seeking a reduced rate.

    Who do I contact if I have a billing question?

    We encourage you to contact your insurance company whenever possible about insurance related billing questions as typically they can provide you the most clarification. 

    You can also get most questions by visiting your client portal and looking at billing documents. 

    However if you have additional questions you can contact [email protected]

    The Three “P’s” To Your First Visit

    Follow these 3 easy steps and your first visit will be as smooth as butter.

    Paperwork

    Make sure you have filled out all the required intake paperwork found in your client portal. We’ve streamlined the process so it’s straightforward online.

    We know paperwork is frustrating, but, fill it out once and we can get to work right away!

    Place

    DURANGO, CO

    135 Burnett Dr, Unit 4

    Durango, CO 81301

    FORT COLLINS, CO

    1752 Topaz Dr

    Loveland, CO 80537

    ONLINE

    Payment

    As a healthcare provider, we proudly accept Health Savings Account (HSA) and Flexible Spending Account (FSA). As well as cash, check or credit card. We do require a credit card to be on file unless you have active medicaid. 

    Our practice management system uses 128-bit Secure Socket Layer encryption so your payment is secure and your data HIPAA compliant.

    WE ACCEPT INSURANCE

    We accept Colorado & New Mexico Medicaid, Medicare

    AND MORE…

    INQUIRE FOR MORE DETAILS

    Schedule An Appointment

    It’s common for people to struggle with anxiety, anger, depression and big life transitions and when these struggles become overwhelming people can feel stuck. At La Plata Family Therapy we help adults, teenagers, & kids get unstuck so they can move forward and enjoy life together.

    DURANGO, CO

    135 Burnett Dr, Unit 4

    Durango, CO 81301

    P: (970) 769-0131

    F: ((303) 827-2464

    RURAL COLORADO

    VIRTUAL APPOINTMENTS ONLY

    P: (970) 769-0131

    F: ((303) 827-2464

    FORT COLLINS, CO

    1752 Topaz Dr

    Loveland, CO 80537

    P: (970) 769-0131

    F: ((303) 827-2464

    NEW MEXICO

    135 Burnett Dr, Unit 4

    Durango, CO 81301

    P: (970) 769-0131

    F: ((303) 827-2464

    Our Office Space