Mentavi Health does not directly participate with any insurance companies, but some insurance plans may reimburse for "out-of-network" services. Please contact your insurance provider to check coverage and get reimbursement information.
We provide an itemized statement, also known as an itemized receipt or superbill, that contains the necessary billing codes needed to file a claim.
Itemized Receipts for Assessments:
The itemized receipt for your completed assessment is located towards the bottom of your downloaded report. You can click here to be taken to the patient portal login.
Itemized Receipts for Appointments:
- For appointments after December 2, 2024, an itemized statement can be downloaded directly from the patient portal and then select (Appointments > Past Appointments > See Details > Download Statement).
- For appointments before December 2, 2024, you can request an itemized receipt by submitting a form through our website or your patient portal. From the dropdown, you can select "Documents and Forms" and choose "Itemized Receipts" as the document you would like to receive. Please also include each date of service that you need on the form.
Helpful Tip: The initial payment receipt received via email does not have the necessary codes for insurance claims. Be sure to request or download an itemized receipt to avoid claim rejection. If you use a FSA or HSA to pay for services, the original payment receipts may be needed as supporting documentation along with the itemized receipt for services.