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No clinician clawbacks for insurance outcomes

Thrizer doesn’t take back your payout because of an insurer’s claim decision. This is our no-clawback policy for insurance outcomes. A claim may be denied, reimburse less than expected, apply to the client’s deductible, or result in $0 reimbursement. Thrizer does not reverse your payout because of that claim outcome.

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Can Thrizer claw back a clinician payout if a claim is denied?

No. Thrizer does not reverse your payout because of:
  • a claim denial
  • a reimbursement shortfall
  • reimbursement variance from the original estimate
  • $0 reimbursement (for example, when the claim was applied to the client’s deductible)
This protection covers insurer-driven outcomes. It does not apply to a refund you initiate. A refund you initiate can still reverse the refunded transaction amount from your payout. See The main exception: clinician-initiated refunds below. Your payout timing is separate from insurer reimbursement timing. Use the Payout schedule for initiation and bank-arrival timing.

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How this works for Instant Reimbursement

Thrizer advances part of the session amount before the insurer finishes processing. An insurer-driven difference from the estimate does not reduce your payout. Where applicable, the client can receive an additional charge or refund, and later estimates can be adjusted. Use Reimbursement methods for the complete payment flow. Your net payout reflects the applicable practice fees, maintained in the Pricing overview.

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How this works for Check and Bank

With the Check and Bank Reimbursement Methods, the client pays the full session fee upfront and any insurance reimbursement belongs to the client. Because you are paid from the client’s upfront payment rather than from a Thrizer advance, insurance outcomes also do not reverse your payout under these methods.

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The main exception: clinician-initiated refunds

A refund your practice initiates can reverse the applicable transaction amount from your payout. It is separate from an insurer-driven outcome. For Instant Reimbursement, the refund reverses the full gross bill amount from your payout; the client’s card receives only the amount originally charged to it. Those amounts need not be equal. Instant Reimbursement refunds are full-refund only. Use Payments, payouts, and refunds for the complete refund behavior and task steps. Refunding does not automatically cancel an associated claim; use Claim cancellation for the separate Support request.

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Common clawback questions

Can Thrizer claw back a clinician payout if a claim is denied? No. A denied claim does not reverse your payout. What if the claim reimburses less than expected, or reimburses $0? No clawback. Reimbursement shortfalls, reimbursement variance, deductible application, and $0 reimbursement do not reduce your payout. What if the insurer applies the claim to the client’s deductible? No clawback. Deductible application is an insurance outcome, not a payout reversal event. What is the exception? A refund you initiate. If you refund a transaction, Thrizer reverses the refunded amount from your payout. That reversal comes from your refund, not the insurer’s decision.

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What this does not cover

This protection applies to insurer claim outcomes. Other actions, including a refund you issue, can still reduce your payout.

How Instant Reimbursement works

See how Thrizer advances the session fee, submits the claim, and receives any insurance reimbursement.

Reimbursement methods for OON Billing

Compare what the client pays and where reimbursement goes for Check, Bank, and Instant Reimbursement.

Payments, payouts, and refunds

Review payouts, transactions, and how to issue a refund from the Clinician Portal.

Why reimbursement can differ from the estimate

Understand why final insurance results may differ from Thrizer’s initial estimate.