Billing | Strock Medical Group

Billing, Insurance & Payment Communication

Billing Email: Billing@strockmedicalgroup.com

Our billing team manages the complex and often strenuous process of payment for mental health services. Insurance billing can be complicated for patients, providers, and billing teams alike, and our goal is to partner with you to resolve concerns as efficiently and respectfully as possible.

Strock Medical Group Psychiatry & Wellness has successfully helped patients navigate billing concerns for over 11 years. We are happy to review questions related to charges, copays, refunds, insurance processing, misapplied payments, or any number of billing complexities.

If you believe something is missing, incorrect, or unclear on your bill, please send all billing questions and inquiries to the Billing Department through your secure Spruce account. Due to patient privacy requirements, billing concerns involving protected health information must be communicated through Spruce rather than standard email. You may also receive billing-related messages from our office through your Spruce account.

Our billing team will review your concern and respond within 48 business hours of the initial Spruce message, due to high volume.

We kindly ask that all communication with our billing team remain respectful.

Disrespectful, aggressive, threatening, profane, or abusive communication will not be tolerated. This includes communication related to our required credit card on file policy. Our team is here to help, and we are best able to resolve concerns when we can work together in a respectful and collaborative manner.

Patient Responsibility for Insurance Benefits

Patients are responsible for knowing and understanding their own insurance benefits, including copays, deductibles, coinsurance, coverage limitations, and plan requirements. Our practice does not have access to details about your particular plan, nor status of deductible responsibility. Patients are billed for any patient responsibility changes as reported to us by your insurance panel.

While we pride ourselves on timely billing, please note that each insurance plan remits payment or explanation of benefits on their own timeline which can range from 7 business days to 120 business days. We do not have any control over this timeline.

Your insurance plan is an agreement between you and your insurance company.

Copays are due at the time of service, including telemedicine appointments, and will be charged on the date of service.

Out-of-pocket charges and self-pay charges are due in full on the date of service and will be charged at the time services are provided.

Patients are also responsible for providing updated insurance information before their next appointment any time coverage changes. If insurance information is not provided in a timely manner and Strock Medical Group Psychiatry & Wellness is unable to bill the correct insurance, the patient will be responsible for the self-pay rate.

We require a copy of the front and back of your insurance card. Images may be sent securely through Spruce or emailed to billing@strockmedicalgroup.com if no protected health information is included beyond the insurance card itself.

Insurance Opt-Out Requests

If you have a high deductible insurance plan and choose not to use your commercial insurance benefits for services at Strock Medical Group Psychiatry & Wellness, please notify the Billing Department through your Spruce account so we may send you an insurance opt-out form for review and completion.

Please note that Medicaid, Medicare, TRICARE, and other state or federal insurance plans may not permit patients to opt out of billing requirements in the same way commercial insurance plans may. If you are covered by one of these plans, Strock Medical Group Psychiatry & Wellness must follow applicable state and federal billing requirements.

Credit Card on File Policy

As of July 1, 2026, Strock Medical Group Psychiatry & Wellness will require a credit card on file for all patients. This card may be used for copays, deductibles, coinsurance, balances, no-show or late-cancellation fees, and other patient-responsible charges.

Copays will be charged on the date of service. Out-of-pocket and self-pay charges will also be charged in full on the date of service. If your insurance later processes a claim and notifies our billing department that an additional patient responsibility amount is due, such as a deductible, coinsurance, or remaining balance, our billing team will send an electronic invoice to the email address on file.

Patients are responsible for keeping their email address current. Please notify our office immediately of any email address changes so that billing notices, electronic invoices, and other important account communications are received in a timely manner.

If you would prefer that we automatically charge the card on file for patient responsibility balances, please notify the billing team through your Spruce account.

If the invoice is not paid within 14 days, the card on file may be charged automatically for the outstanding balance.

Patients are responsible for keeping their card information current, including HSA or FSA cards. Please notify billing immediately if your card changes, expires, is replaced, or should no longer be used.

If you do not wish to provide a credit card on file, please notify our billing team through your Spruce account so that we may provide a specialized billing consent form for review. Please understand that our credit card on file policy is part of our standard billing process, and abusive, threatening, profane, or disrespectful communication regarding this policy will not be tolerated.

Privacy and Authorized Payment Methods

A credit card on file may belong to someone other than the patient, such as a parent, guardian, or authorized payer. However, payment authorization does not give that person access to the patient’s medical, mental health, appointment, or billing information.

Due to federal HIPAA privacy laws, Strock Medical Group Psychiatry & Wellness cannot disclose protected health information to anyone other than the patient unless a valid Release of Information is completed and signed by the patient or appropriate legal decision-maker.

No Surprises Act / Good Faith Estimate Notice

Under the federal No Surprises Act, patients who are uninsured or who choose not to use insurance for their care may have the right to receive a Good Faith Estimate of expected charges before receiving scheduled health care services.

A Good Faith Estimate is not a bill. It is an estimate of the expected cost of services based on the information known at the time the estimate is created. Actual charges may vary depending on the services provided, appointment length, clinical needs, changes in treatment plan, missed appointments, late cancellations, or other circumstances that may arise during care.

Strock Medical Group Psychiatry & Wellness provides out-of-pocket charge information in the financial consents given to patients ahead of their intake visit. Patients are encouraged to review these financial consents carefully before beginning care and to send any billing questions through their secure Spruce account.

All out-of-pocket charges and self-pay charges are due in full on the date of service.

If you are uninsured, do not have active insurance coverage, or choose not to use your insurance benefits, you may request a Good Faith Estimate from Strock Medical Group Psychiatry & Wellness before your scheduled appointment. In most cases, providers must give a Good Faith Estimate when care is scheduled at least 3 business days in advance or when a patient requests one.

If you receive a bill that is substantially higher than your Good Faith Estimate, you may have the right to dispute the bill through the federal patient-provider dispute resolution process. Current federal guidance states this may apply when the billed charges are at least $400 more than the Good Faith Estimate and the dispute is started within 120 calendar days of receiving the initial bill.

This notice is provided for general informational purposes and does not replace individualized billing communication, insurance verification, or legal guidance. Patients remain responsible for understanding their insurance benefits, self-pay obligations, copays, deductibles, coinsurance, and any patient-responsible balances assigned by their insurance plan.

For questions about self-pay rates, insurance billing, or a Good Faith Estimate, please send a message to the Billing Department through your secure Spruce account.

Additional federal information about the No Surprises Act and Good Faith Estimates is available through the Centers for Medicare & Medicaid Services.

We appreciate your cooperation and understanding as we work to protect patient privacy while assisting with billing concerns.

Below are self-pay services and office prices:

Please note: Fees are subject to change. Some fees may not apply to certain state or federal insurance plans where prohibited by law or payer policy.