Insurance 101: How does insurance billing work at Sound?

Ever wondered what happens after your appointment in regard to your insurance billing? If you are a member of one of our in network plans (Blue Shield or CIGNA) we've got the scoop for you.

  1. Co-payment: during your first appointment, our clinic will take a look at your insurance card and collect the co-payment due for a "specialist".
  2. Sound bills your insurance company: a HCFA is sent out electronically indicating the services you participated in (CPT code), and the rationale behind the service (ICD-10 code).
  3. Insurance payment: your insurance plan pays a portion of your bill in approximately 2-6 weeks. The amount that they pay depends on your specific plans benefits. We always recommend you reach out to them prior to the appointment to learn how much is expected to be covered.
  4. Explanation of Benefit (EOB): both you, and Sound, receive an EOB that explains what was covered by the insurance company (if any), and how much you will pay. This document is not a bill.
  5. Invoiced bill: Sound will send you the remaining balance via e-mail through a Quickbooks invoice. You can pay online, through the mail, or in our office the next time you drop by!

Please do not hesitate to reach out to us throughout this process if you have any questions regarding the insurance process. If you are paying privately, we've got an explanation on that process as well!

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Jody Vaynshtok

Jody is a California-licensed speech language pathologist with eight years of industry and clinical experience. She has worked with both adult and pediatric populations during her time at private practice, birth-to-three, and hospital facilities. She is experienced in the assessment and treatment of a variety of communication and cognitive disorders. In addition, Jody has a passion for working with adults looking to achieve clearer communication. Jody received her BS in Speech and Hearing Sciences and MS in Medical Speech-Language Pathology from the University of Washington. She was a part of the Lucile Packard Children’s Hospital at Stanford’s cleft and craniofacial clinic participating in the multidisciplinary assessment and treatment of children born with craniofacial abnormalities. She holds a staff position at UCSF and is the lead speech language pathologist for the department of Otolaryngology-Head and Neck Surgery’s Hearing Loss Clinic. When she's not busy having fun with her clients Jody enjoys spending time with her husband, Anton, friends and family. And if she's not headed out somewhere fun for dinner, you might find her at Bar Method working out!