How Insurance Verification Works at Greenbrook

Understanding insurance benefits, in-network coverage, and out-of-pocket costs explained by an expert.

 Just like other doctor’s offices, here at Greenbrook we handle all of our insurance billing. You give us your insurance information, we find out your out-of-pocket cost for treatment, then relay that amount back to you. But you may be wondering… How did we get that information? What does that process look like? Well, that’s what I’m here to talk about. 

When you talk with our call center to schedule your free consultation, they will ask for your basic information, name, phone #, date of birth, etc. Then you will be asked to provide your insurance information. Now it’s important to remember to give us up-to-date information, as this is what our benefits team will use to obtain your cost. Make sure you’re able to provide the following information: payer name, member ID, and subscriber information (if you are not the policy holder). Once we have that, it will be sent over to our benefits team for further investigation. 

 Before we get to figuring out your cost, all your demographics (name, gender, DOB, address, etc.) is verified with what insurance has on file, then basic plan information (group #, plan type, claims, term date, deductible and out of pocket etc.) is obtained. After plan verification, we’ll check to see if your provider and center location are in network with your plan. We do this by taking your rendering provider/treatment location and making sure they are both credentialed with your plan. If we are in network with your plan, then we move onto getting your benefits quote. 

For each treatment/visit, there are specific codes that are used when billing your insurance, and each code has a different charge amount. To get your out-of-pocket cost, we take those codes and run them through your plan, which tells us how much you will owe per treatment. Once all information is gathered, it is entered into our system, and the benefits team sends it over to your coordinator. Your coordinator will then calculate your total out-of-pocket cost for all your treatments by adding the amount due for each visit, which is then quoted to you. 

Getting insurance benefits may seem like an easy phone call to your insurance, but there is more to it. Here at Greenbrook, we have a dedicated team of individuals who are trained on the process, so that we can get you the most accurate quote possible. 

If you have any questions about this process, or on your own benefits, feel free to reach out to our call center and to set up a free consultation! 

Find a Greenbrook location near you and schedule a free consultation.