Billing, Balances & Medication FAQs

We know changes like this can feel frustrating. Our goal is to be transparent, fair, and consistent — while ensuring your care team and providers are supported so they can continue caring for you.

Below are answers to the most common questions we receive.

Over the past year, we’ve made significant efforts to give patients flexibility and grace — including extended refill periods, delayed collections, and multiple outreach attempts.

Unfortunately, unresolved balances and insurance issues have increased to a point where they directly impact provider care and operations. These updates help us:

  • Ensure providers are paid for their clinical work
  • Keep appointments and prescriptions running smoothly
  • Apply the same rules consistently to all patients

This isn’t about punishment — it’s about sustainability and fairness.

An outstanding balance may include:

  • Unpaid visit charges
  • Deductibles not collected
  • Failed or declined cards
  • Insurance that could not be billed due to eligibility issues
  • Delays in updating new or changed insurance

Even if a balance is small or from a prior visit, it still needs to be resolved.

If there is any unresolved balance or payment concern:

  • You may still be seen clinically
  • Prescriptions are placed on hold until the balance is resolved
  • Extended or multi-month prescriptions are no longer available
  • You will be moved to monthly visits and monthly prescriptions

This applies to both controlled and non-controlled medications.

Prescriptions — especially controlled medications — require active oversight, compliance, and continuity of care.

When balances or insurance issues go unresolved, the safest and fairest option is to:

  • Require monthly check-ins
  • Limit prescriptions to one month at a time
  • Reassess eligibility regularly

This is standard across most psychiatry practices.

It is the patient’s responsibility to notify us immediately when insurance changes.

If insurance cannot be verified:

  • We will reach out by text or secure message
  • If we do not hear back in time, the visit defaults to self-pay per your signed financial agreement
  • This ensures your provider is paid for their time

You can update insurance anytime using our secure form: Click here ➜

If we send messages and do not receive a response:

  • Insurance cannot be billed
  • Visits may convert to self-pay
  • Prescriptions may be paused until resolved

We always try to reach you first — but we can’t move forward without updated information.

Yes. Self-pay patients are included.

Historically, self-pay accounts require the most follow-up. Monthly visits and prescriptions help ensure:

  • Clear expectations
  • No surprise balances
  • Safe medication management

You have two options:

  1. Continue with monthly visits and prescriptions
  2. Request a Transfer of Care

If you choose to transfer:

  • One final visit may be completed
  • A transfer request is issued
  • No further prescriptions are provided after that visit

There is no third option.

The easiest way to keep everything smooth:

  • Keep a card on file
  • Respond promptly to texts or secure messages
  • Update insurance immediately when it changes
  • Schedule follow-up appointments before refills are due

We want your care to continue without interruption.

Our operations and billing teams are happy to help clarify next steps.
Please use secure messaging or the appropriate form so we can assist you quickly and accurately.

Get Matched with Licensed Mental Health Providers

If you have additional questions or are a returning Journey Psyche patient, please call 800-955-0167 to speak with a representative.