01

What are your rates? and do you take insurance?

Rates

Dr. Glori Gray and Sarah Smead will determine during the consultation the amount of testing needed to best serve your needs; the length of the test battery determines the cost and time required. The process would be either one of the following:

1 - Comprehensive Testing - $3400 (for Dr. Gray) and $3100 (for Sarah Smead, M.S., Ed.S.), which includes all of the following:

• Intake Session

• Testing hours (4-6 hours)*

• Electronic Behavior Rating Forms

• Document Review

• Consultation with other providers

• Teachers interviews

• Comprehensive Report with Individualized Recommendations

• Feedback Session (90 minutes, which includes youth 12+)

2 - ADHD, Educational, and IQ Testing (under 4 hours) — $475/hr

• Intake Session ($375/90 min)

• Electronic Behavior Rating Forms

• Diagnostic/Written Report,

• Feedback Session ($375/90 min).

  *If > 6 hours is needed, Dr. Gray will talk with you about the additional need for testing.

3 - Therapy - Rates vary by clinician but are currently $250 for a 55-minute session with Dr. Gray. These include:

• Behavioral Parent Training

• Follow-up consultations

• Individual or Family Therapy

Insurance

Although Dr. Gray and Psychological Associates is not in-network for any insurance company, in most cases, insurance companies will cover some of the testing costs. You are responsible for checking for any prior authorization and coverage requirements with your insurance company. We encourage you to call so that you have an understanding from the insurance company as well prior to services starting.

You can use this DOCUMENT to help with inquiries with insurance companies.

You are also responsible for paying all fees out of pocket. Once the testing process has concluded, we will give you a superbill, and you will submit that to your insurance company for reimbursement.

We’d recommend asking these questions to your insurance provider to help determine your benefits:

• Does my health insurance plan include mental health benefits?

• Do I have a deductible? If so, what is it, and have I met it yet?

• Does my plan limit how many sessions per calendar year I can have? If so, what is the limit?

• Do I need written approval from my primary care physician in order for services to be covered?

Dr. Gray is registered with Reimbursify, so filing out-of-network claims for reimbursement from your healthcare insurance plan is as hassle-free as possible.

Reimbursify is an option to assist you with submitting your paid superbill to the insurance company for FSA, HSA, or HRA for any other benefit plan reimbursement.

02

What is a superbill and can I get a superbill to submit to my insurance company?

Superbill

A superbill is a billing statement for insurance reimbursement that is an itemized form created by healthcare providers and given to clients outlining specific information about the assessment and psychotherapy services rendered and the payments made. This information will be provided at the end of the testing process. It is then uploaded to our secure client portal. We securely email a superbill statements to our clients (or their legal guardian) upon request.

Please note, a superbill does include personal information such as the client’s name, the provider’s name and credentials, the office address and phone number, the client’s DSM-5/ICD-10 diagnostic code, the type of service provided for mental health (referred to as CPT billing codes) such as a diagnostic interview CPT 90791), evaluation services (CPT codes: 90830, 90836, 90838), psychotherapy treatment services (CPT codes: 90832, 90834, 90837, 90846, 90847), the dates of service, and the fees paid by the client (or parent/legal guardian).

PLEASE NOTE: Although Dr. Gray and Psychological Associates is not in-network with any insurance company, in most cases, insurance companies will usually cover some of the testing costs. You are responsible for checking any pre-authorization requirements and coverage (Starting January 2023) . You will need to provide a copy of any forms required by your insurance by the date of your consultation. 

Cancellation Policy

If you are unable to attend a therapy session, please give at least 24 hours notice. Otherwise, you will be charged for the full rate of the session.

For testing, please recognize that cancellations within 5 business days for testing will result in a charge for the full time reserved. Testing appointments are not refundable unless there is an emergency (defined as a death in the family, significant illness and/or accident). This is with the understanding that we are not able to reserve that time with others who are interested in meeting during that same period. I will extend a 1-time courtesy for therapy appointments in which the child or parent is sick or when there is a true emergency. You are asked to email your provider in addition to calling the main office, to ensure that we can coordinate schedules and make adjustments as needed.

04

How can I connect directly with my provider? What if there’s an emergency or urgent need?

We make every effort to be responsive to your needs. We have specific office hours that you can schedule in advance. We respond to calls to our office within 24 hours, but our providers are not emergency personnel. If you are experiencing a true clinical emergency and need immediate assistance, please call the Mecklenburg County CriSys Crisis Response System (704-566-3410), call 911 (request a Crisis Intervention Team Trained Officer), or go to your nearest emergency room

With regard to our testing process, our focus is on ensuring that we have all of the data we need prior to sharing feedback. In instances where all tests are scored, data and records are received in advance, and parents or guardians are present, same-day feedback may be arranged. However, our preference is to take the time necessary to thoroughly review all the data, considering various possibilities and sometimes gathering additional information and referrals to support post-testing follow-up and intervention planning.

While this process may be part of our routine, we recognize its significance for our clients and their families. Allowing some time between testing and feedback enables us to approach the information thoughtfully, considering not only our recommendations but also the best methods of presentation and accessible referral resources."