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What a Reimbursement Method means

When the Billing Type is OON Billing, the Reimbursement Method answers: How will reimbursement be handled after the insurer processes the claim? Thrizer shows only the methods supported for the client’s plan. Availability can change based on the plan, verified benefits, deductible status, claim history, and other eligibility rules.

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Compare the methods

Exact current fees are maintained in the Pricing overview.

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Check

The insurer mails the reimbursement check using the member mailing address in its own records. Thrizer does not collect, view, verify, update, redirect, or confirm the address the insurer uses. The client should confirm or update that address directly through the insurer’s portal or member services. Changing an address in Thrizer does not change the insurer’s mailing record. For a direct-to-member check, the client should also obtain the Explanation of Benefits from the insurer or insurer portal.

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Bank

When the plan supports Bank reimbursement, insurance reimbursement routes through Thrizer to the client’s linked reimbursement bank account. It is not returned to the card used to pay for the Service. The insurer still controls the final reimbursement amount and adjudication timing.

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Instant Reimbursement

With Instant Reimbursement, the client pays an estimated out-of-pocket responsibility plus the applicable fee. Thrizer advances the remaining Service amount to the clinician before the claim outcome is known and later reconciles with the insurer’s reimbursement. “Instant” describes the clinician payment experience. The insurer still processes the claim on its normal timeline. Instant Reimbursement has additional requirements and may not be available for every client or plan.

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Where to choose a Reimbursement Method

  • For the client’s saved setup, open Clinician Portal → Clients, select the client, and stay on Overview. In the Clinician section, select Edit, set Billing type to OON Billing, then choose the Reimbursement method.
  • For one charge, open Add Charge, set Billing Type to OON Billing, and choose from the Reimbursement Methods shown for that client and charge.

Billing types: Self-Pay and OON Billing

Decide whether a claim will be submitted.

Why Instant Reimbursement may not be available

Review the additional eligibility requirements.