OUR PRACTICE

Important Information

Appointment Expectations
 

Please log-in approximately 10 minutes prior to session and you will be prompted to wait until you are let into the session.  Please call our office phone number if you are having technical difficulties. 

Of note paperwork and forms mentioned in the section below need to be completed at least 48 hours prior to your initial appointment.

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Patient Portal / Accounts
 

Please create an account with CHARM upon scheduling your initial intake appointment.  For remote-video visits, you will be using this web-based program which is run through Zoom.  Please see both CHARM and Zoom’s terms of use and policies which should be maintained regularly.

You will be using this portal to complete and sign paperwork prior to your initial appointment. This paperwork needs to be completed at least 48 hours prior to your scheduled appointment, otherwise your appointment will be canceled.

Please also download the Spruce application which is used for secure messaging with our practice.  Although you can communicate with us via text messaging directly from your phone to our secure spruce line which is HIPPA compliant, the most secure way would be for you also to use the app on your end.

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Fees and Payment
 

Fees are due at the time of service during the initial evaluation. A credit card will be stored in your chart and automatically charged at the time of each follow up visit. You will be asked to electronically sign a consent allowing us to store this information securely via our payment portal, which is Stripe. Electronic payment is necessary to maximize time in session.

We do have a strict no- show policy and you will be charged half the appointment fee if you are a no- show. If you are more than 10 minutes late for any appointment, you will be considered a no- show and charged accordingly.

We charge a $15 fee for refills that are requested as a result of a no-show or late cancellation. These fees will be automatically charged when the refill is sent to your pharmacy.

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Fee Schedule
 

Psychiatric Evaluation/Diagnostic Assessment               (45-60 minutes) – $420

Psychiatric Medication Management/Follow up visit      (15-30 minutes) – $220

Psychotherapy with Medication Management (45 Minutes) – $320

Refills due to no shows or late cancellations – $15

Letters – $30

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Insurance
 

Dr. Mehr Karamat, Dr Ansar Malik and Thriving minds – Psychiatric services of California accept the below insurances however also remain primarily a cash based practice who provide out of network care for patients that do not have any of the below mentioned insurances.

Dr. Mehr Karamat and Dr. Ansar Malik are accepting the below insurances:

  • Optum – (United Healthcare, United Healthcare Shared Services (UHSS), GEHA – United Healthcare Shared Services (UHSS), UnitedHealthcare Global, Oscar, Harvard Pilgrim, Oxford, UHC Student Resources, UMR, All Savers (UHC), Health Plans Inc, Bind)
  • Aetna – (Meritain, Nippon, Allied Benefit Systems, GEHA – United Healthcare Shared Services (UHSS)
  • Cigna
  • Anthem Blue Cross
  • Blue Cross Blue Shield

If desired, Dr. Mehr Karamat and Dr. Ansar Malik will be happy to provide you with a superbill that you can submit for partial or at times full reimbursement directly to your insurance provider.

FREE INSURANCE REIMBURSEMENT SUPPORT:
Reimbursify is a company that helps patients file out-of-network claims. For patients whose insurance we are out-of-network with, Reimbursify makes it easy to file a claim and get reimbursed directly by your insurance company.

Our Practice is subscribed to Reimbursify’s Practice Pro plan to help simplify your process of getting reimbursed.

For cash-pay patients while we remain “out of network” to ensure great care for you, we also want to simplify the process of how you can utilize your insurance benefits while still getting the excellent care an “out of network” doctor can provide. We have been able to do this by subscribing to Reimbursify which allows us to check your out of network benefits and see what percentage of your fees paid to us is reimbursable. This really streamlines the process for you. Depending on your plan, you will usually get a percentage of what you already paid back to you, which can help offset the out-of-pocket cost of services. And that is not all! You can file the claim free with reimbursify under our practice without a charge due to our subscription with them via their app, or we can file it for you as well (free of charge).

We also, however, understand you may want to get reimbursed independently and may not want to utilize Reimbursify and in that situation, we would be happy to provide you with a superbill for each visit and you would file for reimbursement directly with your insurance company. If you choose this route, we have some guidelines below for you that may help simplify the process a little bit.

  • 1) Call your insurance carrier at the number listed on the back of your insurance card.
  • 2) Ask your insurance carrier what percentage is covered for “out-of-network” or “non-participating providers.
  • 3) Ask your insurance carrier if you have a deductible for an out-of-network provider and how much it is.
  • 4) Ask your insurance carrier what the “maximum allowed amount” is per session (this is sometimes referred to as “reasonable and customary fees”). They may ask you for geographical information such as the zipcode where the doctor practices. For us, that would be 91789, and the specialty which would be psychiatry.
  • If they ask for CPT/procedure codes. We utilize 99204 and 90833 for initial appointments (Psychiatric Evaluation) OR 90792 for Psychiatric diagnostic evaluation with medical services and
  • We utilize either 99214 with 90833 for follow up visits OR 99213 and 90833 . These codes for the follow up visits are for an outpatient visit for the evaluation and management of an established patient, with added therapy.
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No Show and Cancellation Policy
 

All patients may cancel their appointment up to 48 hours in advance of their appointment to avoid a no-show or cancellation fee.  In order to reduce our no-show rate our clinic charges for any no-shows or cancellations within 48 hours of the appointment. 48 hours is needed in order for the clinic to schedule someone from the waiting list.

Patients who do not present for their initial evaluation will not be rescheduled for an additional appointment if they have not communicated to Dr. Mehr Karamat or Dr. Ansar Malik regarding any emergent situations that may have impeded her ability to attend their appointment.

Patients with 2 no-shows or late cancellations (less than 48 hours of notice) will be discharged from Thriving minds – Psychiatric services of California care, with a 30-day supply of medication which gives them time to find a new provider to continue their care with. Dr. Mehr Karamat and Dr. Ansar Malik are committed to providing care to patients that need it and patients who occupy scheduled time in her schedule without showing up take time away from other patients who are in need.

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