Overview
Thrizer supports common out-of-network payment and claim processes, but some billing setups cannot be handled automatically. For eligible OON Billing sessions:- One charge connects to one claim
- One claim supports one primary CPT code, with only a specifically supported add-on combination
- A claim can only be submitted when the required information is complete
- A claim is submitted only after the client payment is successfully processed
How this works
This article explains common claim and billing limitations so you know what to expect before creating a charge, submitting a claim, or choosing a payment option.Can one session be split across multiple cards?
No. A single session charge cannot be split across multiple payment methods. The client needs to use one payment method for the full charge.Can multiple charges be combined into one claim?
No. Thrizer does not automatically combine multiple charges into one insurance claim. Each charge corresponds to a single claim. If a session is split into multiple charges, those charges remain separate for claim purposes. This matters because insurance carriers review claims based on the information submitted on each claim. A split payment or split charge may not behave the same way as one combined session claim.Can one charge include multiple CPT codes?
One primary CPT code is supported per claim. A different time-based add-on is possible only for the exact supported combination and unit count; repeating the primary code as multiple units is not supported. See Add-on and extension codes for the complete rules and review preparation. Unrelated services must be separate charges.Can a claim be submitted without a diagnosis code?
No. OON Billing requires a qualifying diagnosis; Self-Pay payment does not. Add Charge disables the insurance option when the diagnosis is missing and may switch an existing selection to Self-Pay, so review the Billing Type before submitting. Use Diagnosis codes and Thrizer for the full practice editing steps and when to wait before charging.Can a failed payment still trigger a claim?
No. A claim is submitted only after the client’s payment is successfully processed. If the client’s payment method fails, the charge does not go through and Thrizer does not submit the claim. Resolve the payment issue with the client, then follow failed-payment steps to make a new charge attempt. Confirm an unclear payment outcome before charging again. Failed charges aren’t automatically retried.Can a completed charge be moved to a different card?
No. Completed charges cannot be reassigned to a different payment method. If a client adds a new card, that card can be used for future charges. It does not change the payment method used for past charges.Can past sessions be changed to Instant Reimbursement?
No. Instant Reimbursement can only be applied to future sessions. You need to select OON Billing and the applicable Reimbursement Method before submitting the charge. Past sessions cannot be converted to Instant Reimbursement after the fact.Is there a maximum charge amount in the Clinician Portal?
Yes. The session rate must be within your practice’s effective cap. If Add Charge shows an amount error, review the full session rate as well as the client charge. See Charge amount limit for the current cap and how to request prior review; do not assume a higher cap is approved.Can insurance be billed for sessions scheduled far in the future?
No. The OON Billing Date of Service must be today or tomorrow, using calendar dates. For later sessions, wait until the supported window to create the insurance charge; Self-Pay remains available for advance billing. See Date of Service and Billing Type for the form behavior and future-date claim hold.Can no-show or cancellation fees be submitted to insurance?
No. No-show and cancellation fees cannot be submitted to insurance through Thrizer. Clinicians may charge clients directly for missed or canceled sessions, but those charges are handled separately from insurance reimbursement. They should be treated as Self-Pay charges. Because no-show and cancellation fees are not submitted as insurance claims, clients should not expect reimbursement for those charges through Thrizer.Can clients submit claims for past sessions?
Not through the Client Portal. Client-side Upload Superbill and Add Claim were retired from the Client Portal on August 9, 2026. If a client has a superbill from a session that was not paid through Thrizer, they can pursue reimbursement by submitting the superbill directly to their insurer. Thrizer does not accept or submit client superbills. Insurers still determine whether to accept a claim. Insurance plans may have timely filing limits, and Thrizer does not guarantee that an older claim will be accepted or reimbursed.Can I correct the wrong CPT code or other claim detail after submission?
Contact Support through your Thrizer account to request a charge or claim edit. Support reviews the request without guaranteeing that an edit is possible or will be completed. Updating a client or practice record does not by itself correct or resubmit an existing claim. Include the charge date, client initials, and edits needed. Identify the affected transaction or claim and include the session’s Date of Service if it differs from the charge date. If the support flow prepares a request for you, review it before sending.What if I accidentally used Self-Pay instead of OON Billing?
Contact Support for review of the completed charge using the edit-request details above, including the intended Billing Type. Do not create a replacement payment while waiting for review. Self-Pay did not submit a claim, and changing the client’s saved billing setup does not by itself change that completed charge. Current billing, Date of Service, insurer and timely-filing requirements still apply. Support review does not guarantee that a change, claim acceptance or reimbursement is possible. Instant Reimbursement cannot be applied retroactively.What if I selected the wrong rendering clinician?
Use Support review for charge or claim edits and include the correct rendering clinician in the requested change.Can a denied claim be corrected and resubmitted?
Contact Support about corrections to a denied claim. Insurer acceptance, approval, and reimbursement are not guaranteed.What if my client’s insurance changes after a claim was submitted?
Contact Support through your Thrizer account with the updated insurance information and the affected claim. Support reviews whether manual resubmission is appropriate for that claim’s current state. A change to the insurance record is not confirmation that an existing claim has been corrected or resubmitted, and insurer acceptance or reimbursement is not guaranteed. Your client can also request this review directly through their own account.Can I see why a claim was rejected?
A rejection happens before a coverage decision. Review the available claim details and follow Rejected claim reason and next steps. That guide covers common information and registration problems, correcting records for future charges, and Support review of an existing claim. Updating a record does not itself resubmit the affected claim. Clients retain direct Support access.How do I cancel a charge or a claim?
A completed charge is refunded rather than canceled. Open Clinician Portal → Transactions → Payments → select the transaction → Issue Refund, when available to you. See Refunds for complete steps, restrictions and help when the option is missing. A refund does not automatically cancel, void or prevent an associated claim or reverse insurer processing. For a claim submitted through Thrizer, contact Support separately to request cancellation. Support reviews the claim’s submission and processing state, even if time has passed since submission; the insurer determines whether cancellation is possible. Wait for Support to confirm next steps before creating a replacement charge. Self-Pay creates no insurance claim to cancel.I accidentally charged twice for one session
If you charge the same session twice, refund only the duplicate charge from Clinician Portal → Transactions. If a claim was generated for that charge, contact Support to request cancellation of the duplicate claim. A refund does not automatically cancel it. Keep the remaining, correct charge and its claim. Do not recharge the session when the correct charge already exists. If you cannot refund the duplicate charge from the Clinician Portal, or if you’re unsure which transaction to refund, contact Support.Can I correct a wrong CPT code on a denied claim?
Use Support review for charge or claim edits and include the CPT correction requested. Insurer acceptance and reimbursement are not guaranteed.Can Thrizer fix or resubmit a superbill that was already sent to insurance?
No. Thrizer cannot take over, correct, appeal, or resubmit a superbill claim that has already been submitted to insurance through another path. If a superbill was already submitted to insurance and the client believes it was reimbursed incorrectly, the client needs to work through the insurer or the original submission path. Submitting the same claim again through another path may create a duplicate-claim issue.Can clinicians upload superbills for clients?
No. A clinician cannot submit a superbill to insurance on a client’s behalf through Thrizer. Permitted practice members can generate a document for an otherwise eligible appointment payment. For Self-Pay, the client can submit it directly to their insurer; Thrizer does not accept client superbills through Support or another channel. OON Billing document exports are also available where eligible, but an export does not replace or resubmit the automatic claim. See Self-Pay and superbills for complete eligibility and practice export steps. For OON Billing, claim submission happens automatically after a successful charge when the Billing Type supports claim submission.Does Thrizer support secondary insurance?
No. Thrizer supports primary insurance only. Secondary insurance and coordination of benefits are not supported. If a client has more than one insurance plan, Thrizer cannot automatically coordinate claims across multiple insurers.Can practices split payouts between clinicians?
No. Thrizer does not support automated revenue splits between clinicians. Each team has one linked payout bank account. If a practice needs to divide payments among clinicians, that needs to be handled outside of Thrizer.What Thrizer does
Thrizer can help process supported payment options, submit claims when the Billing Type supports claim submission, and track claim status. For OON Billing, claim submission happens automatically after a successful charge when the required claim information is present. Client-side Upload Superbill and Add Claim were retired from the Client Portal on August 9, 2026. Claims already submitted through those paths continue to process normally.What insurance determines
The insurer decides whether to accept and approve a claim, how it applies to the deductible, and the reimbursement amount and timing. Thrizer can’t guarantee those outcomes.Related articles
How Thrizer submits insurance claims
Learn how OON Billing claims are submitted and when clients submit superbills directly to insurers.
Self-Pay and superbills
Understand when Self-Pay applies and how superbills fit into claim submission.
CPT codes and Thrizer
See how CPT codes are used in Thrizer claim processes.
Diagnosis codes and Thrizer
Learn why diagnosis codes are required for claims and how they are used.
Which billing options are available?
Compare Self-Pay or OON Billing with an available Reimbursement Method before choosing a Billing Type.