Billing types: Self-Pay and OON Billing

​

Start with one question

Choose a Billing Type by asking: Should Thrizer submit an insurance claim for this charge?

• Self-Pay: No claim is submitted through Thrizer.
• OON Billing: Thrizer submits an eligible out-of-network claim after the charge is successfully processed.

If you choose OON Billing, you’ll also choose a Reimbursement Method: Check, Bank, or Instant Reimbursement. This controls how reimbursement is handled.

​

Self-Pay

With Self-Pay, the client pays the full Service amount and Thrizer does not submit an insurance claim for the charge. A benefit check is not required. Use Self-Pay for non-billable Services and whenever no insurance claim should be submitted through Thrizer. An otherwise eligible Self-Pay charge for a billable Service may be included in a superbill; the client submits that superbill outside Thrizer.

​

OON Billing

With OON Billing, Thrizer submits a claim after an eligible charge is successfully processed. The client needs supported, verified primary insurance, and the charge must contain the required insurance-billing information. The insurer still decides coverage, claim approval, and whether and how much to reimburse. For a named plan’s billing and reimbursement options, see the Insurance plan table. Its entries do not replace the client’s benefit check.

​

Decide what your practice will offer

Your practice can offer out-of-network billing support as a paid service alongside clinical care. Decide whether to offer it, then talk through the service and its costs with your client. The Pricing overview explains the November 2 fees and your pricing choices, starting with the default. For earlier charges, use pricing before November 2, 2026.

​

Choose with the client

First, ask whether the client wants to use insurance. If they do, review the Reimbursement Methods available for their plan and agree on the billing arrangement. For a saved connection, the assigned clinician can edit their own accepted connection. Team Owners, Practice Administrators, and Staff Members with the required permission can edit accepted connections in their practice.

​

Where to choose a Billing Type

Your practice makes these changes. To edit saved settings, you need an accepted connection and the permission described above. If the editor is read-only, ask a practice member with permission to make the change; the client can’t change your practice’s saved setup.

• For the client’s saved setup, open Clinician Portal → Clients, select the client, and stay on Overview. In the Clinician section, select Edit, then choose the Billing type. If you select OON Billing, also choose a Reimbursement method.
• For one charge, open Clinician Portal → Clients → Add Charge and choose the Billing Type for that charge. If you select OON Billing, choose from the Reimbursement Methods Thrizer shows as available. The rendering clinician and your permissions determine which clients and charges you can manage; use Charging clients for readiness and required fields.

​

Related articles

For the billing-label changes and walkthrough videos, see the September 12, 2026 release notes.