Insurance 101: How does out of network billing work at Sound?

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Regardless of your insurance, Sound works with you to ensure you have all the documentation needed to contact your insurance provider to determine coverage. Patients who have out-of network coverage often receive partial or total reimbursement following services at our clinic. We've got the scoop for you on how to obtain coverage, even for carriers that our not contracted with Sound.

  1. Payment: after your visit you will be asked to pay for the bill. Feel free to call our office to inquire pricing of evaluations or treatments.
  2. Prepared superbill: a superbill is created by your clinician indicating the services you participated in (CPT code), and the rationale behind the service (ICD-10 code) provided. This is the legally binding document that tells your insurer that services were paid for. Keep this document - it can be used to obtain reimbursement from your insurer.
  3. Submit superbill: contact your insurance company to determine how to submit out of network claims. For those looking for a bit more support in obtaining reimbursement, we have loved working with the company Better.
  4. Explanation of Benefit (EOB): you will receive an EOB that explains what was covered by the insurance company (if any). If funds were paid by the insurance company, you will receive a check from them at this time. This document is not a bill.

Please do not hesitate to reach out to us if you have any questions regarding the insurance process. 

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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!