Insurance Verification

Representative may ask for a provider’s name and their information. Please give the following information:

Joseph A. Zagame, LCSW-R
928 Broadway, Suite 806 New York, NY 10010
NY License # 079115
National Provider Identification (NPI) number: 1235360561
TAX ID #: 61-1723891

Important questions to ask your insurance company –

• Is there an annual deductible for in-network mental health benefits? If so, how much?
• Is there a limit on the number of sessions your plan will cover per year?
• How much is your co-payment for mental health services?
• What is the policy year (i.e. Jan 1 – Dec 31)?
• Does your plan require pre-authorization for psychotherapy?

Representative may ask for a provider’s name and their information. Please give the following information:

Joseph A. Zagame, LCSW-R
928 Broadway, Suite 806 New York, NY 10010
NY License # 079115
National Provider Identification (NPI) number: 1235360561
TAX ID #: 61-1723891

Important questions to ask your insurance company

• Does your plan include “out-of-network” coverage for mental health?
• What is your annual deductible for mental health benefits?
• What is your co-insurance?
• Is there a limit on the number of sessions your plan will cover per year?
• Is there a limit on out of pocket expenses per year?
• Does your plan require pre-authorization for psychotherapy?
• What is the policy year (i.e. Jan 1 – Dec 31)?
• What is the reasonable and customary fee (the amount that your plan determines is the normal range of payment within a given geographic area)? In order to find out the reasonable and customary fee, the representative may ask for a Clinical Procedure Terminology (CPT) code for the service you plan to receive. Please note that the CPT codes for services are as follows: 90834 (used for ongoing psychotherapy), 90837 (used for EMDR psychotherapy), 90847 (used for couples psychotherapy), 90853 (used for group psychotherapy).