[quote=seventyeight;2702911]no, she doesn't have any other clients on SCA. she's told me explicitly that she doesn't work with insurance companies (at all), and that i'm the only client that she's ever done anything like this for before. also, the form was a one-time thing, and the phone call is once every four months.]

Okay, you've mentioned that she's a wonderful and responsive therapist. She GETS you. Then what's the problem with her spending a few minutes every few months explaining to the brainless and stupid insurance companies what she does with you as a therapist???? I'm sorry but in my book that isn't a lot to ask of a therapist. If you were asking her to spend hours on the phone or endless emails related to your treatment than I would agree that her commitment was overboard, but obviously that is NOT the case!

When an individual contracts to provide services it usually doesn't mean a confined amount of time. If a therapist says that they provide 50 minute of therapy time for say . .. $95.00 an hour. . that can NOT mean that that is the ONLY service provided. Even physicians know that they are RESPONSIBLE for providing ongoing care for their clients outside of their actual appointments. I get that if a client is requiring 2-4-6 contacts or phone calls outside of the regular appointments that the caregiver needs to "talk" about the fee but that is the CAREGIVERS responsibility NOT the clients! I get that most clients realize that they are over stepping their fee schedule, but it is still the provider's responsiblity to bring the topic up and to negotiate!!!