Direct billing can help make it easier and more convenient for our clients to make the most of their benefits. It also makes therapy more accessible, which is another reason we’re really happy to offer it! Let’s go over the details of how direct billing works. Keep in mind that while we do everything on our end to have access to direct billing platforms for all insurance providers, we are limited by their respective platforms and approval processes.
At DiveThru, we offer a range of qualified and registered therapists that can provide care, including Registered Psychologists, Registered Provisional Psychologists, and Registered Social Workers. Insurance providers can be picky about which title and certification they accept, so it’s best to check your plan ahead of time.
Once you have your list of top three therapist matches, check that their qualifications match the requirements of your insurance provider. Go to each therapist’s profile page and you’ll be able to find their title right beside their name (e.g., Registered Provisional Psychologist). It’s best to double check with your insurance provider and make sure they will accept them as a practitioner.
After you’ve picked the right therapist for you, the next step is to book your first appointment! In this step, you’ll need to create a DiveThru profile and enter a few details. You’ll also enter your credit card details to save the appointment spot (you won’t be charged prior to the appointment).
Booking your first appointment will trigger a few next steps! If you click on your profile, under Settings > Forms, you will see a consent form and an intake form are available for you to complete. The intake form is where you will enter your insurance details (alongside other important questions to help your therapist prepare for your first session). Make sure to complete these forms at least 48 hours before your first appointment!
At the end of your first session, we will process your insurance details and bill the provider for your session. Depending on your provider and your plan, there may be a difference leftover for us to collect. If we cannot direct bill for your session, we will collect payment from you for the full session amount and send you an invoice with the relevant details you need to submit for reimbursement on your own end.
Our counselling services are covered by most insurance providers. We also offer direct billing to select providers. In the event we are not able to direct bill to your plan, you may still submit your therapy receipt for reimbursement.
Please Note: Not all therapists are approved for direct billing to insurers. If you have any questions or concerns regarding your coverage, contact us or your insurance provider.
The following insurance providers are confirmed as eligible for direct billing: Alberta BlueCross, ASEBP, and Canada Life, Veteran Affairs Canada. Medavie (which includes Veteran’s Affairs and RCMP) and GreenShield is expected to be added by the end of July as well.
Whether or not we can successfully direct bill them may still depend on your insurance plan and/or the type of therapist you have attended a session with.
Don’t see your insurance listed?
If we’re unable to direct bill your insurance provider, you’ll be able to submit the receipt we send at the end of your session to your insurance provider for reimbursement yourself.
10151 81 Ave NW, Edmonton, AB T6E 1W9
Alberta Residents Only
While we do everything on our end to have access to direct billing platforms for all insurance providers, we are limited by their respective platforms and approval processes. Beyond the providers listed above, all other insurance companies do not allow us to direct bill for psychological services; however, you are still able to submit your receipt to your insurance provider for reimbursement on your end.
The best approach is to familiarize yourself with your insurance plan and see what types of therapy services, if any, are covered. If you’re unable to find that information, the next step would be to contact your insurance provider and ask. Be sure to ask them if they cover Registered Psychologists, Registered Provisional Psychologists, and Registered Social Workers. You’ll note these titles are next to our therapists’ names in their profile pages.
If you will be receiving therapy services as part of a car accident claim, please call our studio at 587-415-4910 before booking your first appointment.
Starting with July 12th, 2023, we can direct bill sessions with our Registered Psychologists (R.Psych) and Registered Social Workers (MSW) to Alberta Blue Cross, ASEBP, Canada Life, Medavie (which includes Veterans Affairs and RCMP) and GreenShield. For sessions with our Registered Provisional Psychologists, we can direct bill to Alberta Blue Cross, ASEBP, Medavie (which includes Veterans Affairs and RCMP) and GreenShield starting on July 12th, 2023. To ensure we can direct bill for a specific therapist, please check their profile page, where we list their titles right below their names. For example, Holly Hollems is a Registered Provisional Psychologist and we would be able to direct bill the insurance providers listed above, with the exception of Canada Life.
Unfortunately, the majority of benefit providers don’t allow direct billing for psychological services, and this means we are limited by their respective platforms and approval processes. We will update our provider list with any future changes!
The platform we use to direct bill to Canada Life doesn’t allow us to submit claims for registered provisionals psychologists. There wasn’t a reasoning provided as to why and we unfortunately have to follow their processes.
We can submit the claim through your primary benefits first. If the session cost is not fully covered by your primary plan, we would provide you with a receipt for the remaining balance, which you can submit to your secondary plan for reimbursement.
Unfortunately, in this case we will have to provide a receipt for you to submit for reimbursement through both plans, as the secondary plan will not let a claim be submitted to them without knowing what the primary plan covers. Since we cannot direct bill the primary plan to find this out, we cannot bill the secondary plan.
We are unable to see how much coverage you have per year. We recommend contacting your provider to confirm your coverage. They need to verify your identity to provide this information, and therefore DiveThru cannot do this on your behalf
Depending on your benefit provider and plan, there can be limits on what they cover per session. Some companies cover the full amount, whereas others will only cover a certain percentage per visit. Either way, you will still be able to use all of your coverage for the year. If only a percentage is covered each session, your benefits will last a bit longer as the remaining balance is paid out of pocket.
No, we cannot direct bill your insurance for missed appointments or cancellation fees.
