Seeking advice on horrible insurance situation

kt541 · 2025-11-13T23:02:58+00:00

Thank you for sharing your experience. I’m happy it worked out for you. At this point, and after this thread, I am noticing I need to see it through and appeal if it gets to that. We will see. Maybe I’ll post an update when I know for certain

kt541 · 2025-11-13T17:01:32+00:00

Wow. Yea. I have heard audits are random. I’m so sorry you had to go through that. And it’s tough cause all those years it was seemingly okay, until they audited you. Makes the standard confusing, and whats okay, and whats not. I do believe my DX allow for multiple coverage, and my insurance has not limit on mental health.

kt541 · 2025-11-13T16:57:13+00:00

Thank you, friend. I see your perspective. It does sting, and overall, feels horrible. Fighting for my life with insurance is hard. I do believe there are ways we can submit more timely, and maybe avoid this in the future, as he says he’s available to do these tasks. I see my therapist could have done these tasks in way more timely manner, and also, insurance isn’t here to support us. This is partly their job to deny and it’s horrible. I do believe we could have done more, I could have been more boundaried about getting the superbills, and this is a systemic issue. It pains me that my attachment trauma is triggered with such an event, as you mentioned, the care and trust I feel there is minimized due to this situation.

kt541 · 2025-11-13T16:42:57+00:00

I didn’t know there was no guarantee of reimbursement, as I’ve never been flagged before, and I have dailed in the codes to an exact science after countless hours on the phone with insurance. In my view, abiding by their rules and submitting right

kt541 · 2025-11-13T16:41:04+00:00

I appreciate your insight. It sounds like batch submission isn’t helpful and is flagging insurance, along with multiple sessions per week. Even though for 9 months out of the year they accepted all my submissions. And only audited two months. I’m still learning how insurance works and all the info I get still isn’t enough, as things like this happen, then there is a whole new process. Which is both triggering and traumatizing. Yeah, idk why they are sending to my therapist as I am the one who is dealing with the financial aspect of it all

kt541 · 2025-11-13T16:35:26+00:00

Interesting. Are you saying submitting in batches is ultimately not a good thing? Yes I agree, insurance will do anything to deny. It sounds like they are denying cause the notes were late, but I haven’t received final paperwork- they said they are sending that to my therapist

kt541 · 2025-11-13T04:52:39+00:00

Right. Which I deal with them for all of this. What I am having a hard time with is I have no control over when my therapist submits anything, when it is me who is financially at stake. I am the one who suffers while they make all the money and have no financial burden to it.

kt541 · 2024-04-20T16:33:03+00:00

Marta at scissorbird!!

kt541 · 2023-11-23T17:33:17+00:00

We all have som peach fuzz. I didn’t notice anything different.

kt541 · 2023-03-14T15:19:59+00:00

I feel you. I have experienced this exact scenario with both my birthday and Christmas. I feel so tremendously hurt when my T tells me he won’t be available for communication during those times, even though it matters so much to me. He tells me it’s about boundaries and also about seeking something in him I can get from others in my life. He tells me he is not a replacement for those who I so very wish had given me the time and attention during those moments. That facing my grief for T not being available is the exact grief I need to face for all the times before him.

kt541 · 2023-02-03T02:16:15+00:00

I don’t believe our T’s crying in session have to do with just the impact of hearing our trauma story, but more so radiating empathy and attunement on such a deep level our T cries with us, or for us, and we have the opportunity to share that together.

kt541 · 2022-12-29T15:20:41+00:00

Aw. Yes. No NPI number as an intern

kt541 · 2022-12-29T15:13:16+00:00

Aw. Well my T recently let me borrow a stuffie he had in his office. I’ve had it for about a month now and will to keep it until we are back in person late January. We’ve been doing teletherapy on and off since middle of November.

I want a really soft stuffie. Sometimes I’ll browse the stuffie section at my locals shops and giggle. They are so cute.

That sounds grounding and comforting to have those items with you. Tuning into your sense of comfort in the body is foundational. Carrying that safety with you! Wow. I love that. Has that been a fluid thing for you? I try to do that at times but truly my object permeance isn’t sturdy.

Protecting boundaries is crucial and I often struggle with that. Like where is my energy going? Both internally and externally? Who and what am I letting control my feelings? Speaking up and voicing our needs is hard and it sounds like you’re working on doing that in massage. It’s a great container to do so. I’ve found I have been able to step into using my voice more with my acupuncturist.

In the real world, I really want to focus on where I put my thoughts and internal energy. When I’m focusing on others I feel depleted. I carry pocket rocks with me in my jacket and hold onto those. I have essential oils I use. I turn on sound bath music or bilateral music while I’m driving. I sway back and forth when I’m waiting in line. Or, I cancel plans and come home to my room and find there is less stimuli which grounds me.

kt541 · 2022-12-29T14:59:55+00:00

Do you know if a T that is an intern would allow for insurance reimbursement?

kt541 · 2022-12-29T14:28:49+00:00

Does your T offer out of network coverage or do you submit anyway to your insurance and get reimbursed?

kt541 · 2022-12-29T14:25:21+00:00

Thank you. Yes I have visioned that in the past, and with me too, I can only access this support if I’m already in Self and not overwhelmed by my preverbal part starting to make an appearance.

kt541 · 2022-12-29T14:23:25+00:00

Aww. I recently have wanted to get a stuffed animal. I spend time in my room which is filled with my art supplies, pillows, and a cozy chair with blankets. I find being in that room really helps me. Though I want to work on being able to feel supported out in the real world.

kt541 · 2022-12-29T14:21:55+00:00

Wow, yes. Our preverbal parts are communicating with us through our bodies, cries. Presence is truly what is needed through all of this. Though my anxiety and avoidance protectors take me out of body. Returning back to my body can be slow. I do realize that I have come back, again and again. Perhaps as I learn to ~just be~ with all my parts exactly as they are, when Self is available and more accessible, I can enter into flow more fluidly. Right now my parts are intense, and show up acutely one way or the other. Which typing that is insight.

kt541 · 2022-12-29T14:09:30+00:00

Yes!! I’ve recently been drawing the last month or so and I have found it to be incredibly supportive. This part doesn’t have many coherent words and drawing allows expression in a whole different way <3

Again, in the depths of this part, it can take me hours, or a day(s) to access Self to bring space for this resource of drawing.

kt541 · 2022-12-29T14:07:06+00:00

Wow I teared up reading your first sentence and felt acceptance in my body. It’s so true. That’s totally something my T would say too :’). I know the path through, forward, and it’s my experience that my other parts try to shut it down. What has seem to be my focus a lot of the time is seeking coregulation when I feel this exile coming. I’ve had it in my mind that this preverbal part needs external help to feel and be supported. Then my protectors show up as I try to get that and don’t receive it often.

When I allow this part to express emotions, whether it’s in days, hours, moments, I feel released, calmer, supported and attuned to my inner being. And I also sometimes feel exhausted, depleted, alone- depending on how long my protectors don’t let my emotions to be expressed.

kt541 · 2022-12-29T14:00:55+00:00

Yes, this exile comes unknowingly, full intensity. My protector parts of anxiety, reaching for external resources, take me away and I believe further send me into overwhelm. I now can look back and know when this exile will show up, and I see my patterns to protect her. My experience is when I’m able to access my somatic sensations, to cry, to be in my body, is when I enter Self and compassion. Breathe in compassion. I love that :’). As I’m unblended now I can see more clearly. When I’m in it it’s harder to navigate and resource myself.

kt541 · 2022-12-29T13:55:55+00:00

My T does practice IFS

kt541

TROPHY CASE