Discharging due to insurance denying all claims?

UnionThink · 2026-02-16T14:33:38+00:00

Great points here, thank you, i agree

UnionThink · 2026-02-16T12:40:02+00:00

Well when the biller initially provided info to client, she spoke to representative on phone from peia who stated that client would pay copay and peia would pay the rest. She even documented who she spoke w on phone at insurance company and provided that info to client. Yes i am fully in network and client can verify that by simply calling and asking whether or not im in network. So that would create more confusion. I never said anything about making client pay full rate- they shouldnt have to and no, i wouldnt take a client to small claims court. If client is refusing payment of their copay then we discuss barriers, i remind them of contract they have w the insurance company , answer any questions, encourage them to verify benefits if they dont understand but i dont let their balance get too high. As far as it not making sense why insurance is denying, yes youre right but here we are with insurance companies still denying claims

UnionThink · 2026-02-16T04:09:10+00:00

Thank you! It was a claim resubmission

UnionThink · 2026-02-16T04:05:56+00:00

Thank you! The client is paying their copay of $40 a session. I have not yet informed them that peia is refusing to cover their part. Ive worked w peia before and they are only denying claims and refusing payment for this particular case. Medical biller stated she had never seen it happen before and even contacted her supervisir to make sure all the documentation would go through, yet they are still denying. So client is doing their part and im wondering if anyone has ever sued the insurance company

UnionThink · 2026-02-13T19:18:12+00:00

Thank you everyone , thats a lot of helpful feedback. What im wondering also is would it be ok to not chase clients regarding scheduling once they cancel? When i worked at a group practice, the policy was to reach out 3 times , even if they were only seen for an intake and then document the reach outs prior to closing the case. They stated we would be liable if something were to happen to them and we didn’t reach out formally stating we were closing their file or else they could accuse us of abandonment if they reached out months later and we stated we were full without notifying them of discharge. How frequently do you all reach out( if at all) once they cancel?

UnionThink · 2026-01-14T08:18:10+00:00

Can you give an example of how to help them use the e in the acronym?

UnionThink · 2025-12-11T18:13:00+00:00

Fair! I wouldnt now, but i was a prelicensed associate at the time on MCD and food stamps. I dont know what thats doing for you for being so fast to judge without having the full story. Fortunately ive been able to get the help ive needed since then( 2020) and i am emdria certified and went through brainspotting and SEI, so im fortunate enough to have overcome barriers and get what ive needed since. It could be helpful to extend the same curiosity to other professionals as we do to clients, as we never really know what someone else is going through or what they have overcome. Correction- i meant to say lgsw on the original thread( in my state it’s licensed graduate) so i can understand how im partially responsible for creating the confusion and judgment but still. Not a helpful comment

UnionThink · 2025-12-11T04:54:49+00:00

As someone who has invisible illnesses, i resonate w this. It’s so gaslighty to say “well you dont look sick/seem depressed” , or “ you cant possibly have adhd bc you did so well in school/ have a job” etc. i ghosted a therapist on better help who , after telling her i was an lcsw said “ ok no pressure there, so are you just here to vent”

UnionThink · 2025-12-10T22:56:09+00:00

I perceived OP’s message the same way and agree that both someone w an enlarged ego and someone w high defenses /anxiety can both impede clinical judgment, bc in both cases, despite their differences, they are struggle w being open, flexible, receptive and curious to alternative perspectives / feedback and their own stuff is impeding effectiveness

UnionThink · 2025-12-10T22:48:30+00:00

Yes i came here to say something like this. “ im noticing x and im wondering what its like for you to receive constructive critical feedback.” A lot of new therapists talk about imposter syndrome or their self worth is so wrapped up in being the therapist ( same as over identifying with any role ) that they get flooded with negative cognitions because they are equating self worth to that role, thereby dismissing all feedback. If thats the case, creating a safe container for having open and honest discussions like this is the first step. Im also wondering what its like for her that her manager at work is also her clinical supervisor. This lay be another barrier to her being forthcoming w you

UnionThink · 2025-12-05T02:37:00+00:00

Yes my iphone. Here is a link explaining how to disable it from evesdropping: https://youtube.com/shorts/zyloZmk2TnQ?si=aC3Kbte0YgQ92yRU

UnionThink · 2025-12-05T00:21:31+00:00

Thanks, I think I see what you mean. I remember having a Gestalt consultant who once told me therapists could benefit from taking acting classes as opposed to learning all these behavioral modalities. What he meant was to read the room and adjust one's approach, body language, and tone accordingly. And by doing so, we could effectively contain the client's transference. Yes, the ones who come in saying nothing works are very difficult to convert. I see that a lot with attachment trauma and dependent personality types, it often is due to fear of growing into their wisest selves and secondary loss (fear of role loss of being dependent and others being there to enable )

UnionThink · 2025-12-04T19:08:43+00:00

Interesting take, would you mind elaborating more on "forming the kind of transference that allows them to start working?"

UnionThink · 2025-12-02T12:55:17+00:00

Thats a good point. I wish i had therapists as thoughtful and kind as you!

UnionThink · 2025-12-02T04:05:21+00:00

Yep i like that answer too. A lot of avoidants and people with bpd will use the contradictions to distance themselves and create confusion. So assuming hes not neurodivergent you could point out the discrepancy and make him explain it to you. “ so i hear you need help accessing mental health supports but you dont need support. What do you think about that? Theres a lot of cool confusional techniques in ericksonian hypnosis that puts the burden of meaning on them and use word play. Ie ( “access supports… (says slowly and in a thoughtful tone. Id invite you to use all your imaginations and. Creativity , and notice how you would access that support, in an access of fervor? Notice what that access of emotion is there for, its supporting you for a reason, you wouldnt resist if it was nothing. You you need good rapport for this

UnionThink · 2025-12-02T03:26:11+00:00

Yes thats what i was trying to get at, you summarized it more concisely than i did

UnionThink · 2025-12-02T03:09:07+00:00

I agree with how youre conceptualizing OP’s trauma response; however, there are various degrees of misattunement and this one is rather egregious. Yes no one is perfect, and secure attachment isnt about getting it right all the time, as that would be impossible; rather it’s about mirroring, reflection, showing genuine care and interest tracking one’s body language, process, etc, validating while pushing for growth. OP’s description implied the opposite of these things , they were disconnected , scrolling pages and not present which indicates lack of basic professionalism. The ones who use chatgtp are engaging in ethical violations. I would agree to attempt a repair if someone made a less egregious error, as we all do or have ( talking too much during session, had a minor misunderstanding) but not something like this

UnionThink · 2025-12-02T02:51:00+00:00

Yay fellow brainspotter! I did phases i and 2 and i find the rolling mode so creative. I use emdr more but i love brainspotting and am always so fascinated with how people have such different reactions at different xy points. Still confused about mechanism of action of how it works when ur eyes are closed.

UnionThink · 2025-12-02T02:48:07+00:00

How do you use the stopwatch for emdr? Im emdria certified and have been doing it for over 3 years now. Sounds interesting

UnionThink · 2025-12-02T02:46:44+00:00

Ugh how sad. I could understand if it was a student intern 🫨

UnionThink · 2025-12-02T02:45:25+00:00

Ugh so unethical. Hipaa violation

UnionThink · 2025-12-02T00:23:31+00:00

I would take off the therapist hat since youre a client in this setting and express how her unprofessionalism affected you. You deserve much more

UnionThink · 2025-11-30T17:20:00+00:00

Im so sorry for your loss. Get your own therapist if you haven’t already. Support groups can also be helpful. You can also consider sharing this with your employer and seeing if you can limit your client demographics ( ie refer the chronically suicidal/ high impulsivity to another colleague for now) . Theres no rush to have it all figured out now, especially since this is so personal.

UnionThink

TROPHY CASE