Alex, can you send a claim off for just one visit to your insurance? This is what I did with my T as a test case. If they would reimburse for one visit, then I would send them more claims. But I didn't want to freak them out by sending in a claim for 10 visits at a time. In my case, my insurance would not even reimburse for one visit, so I proceeded no further. But if they had reimbursed for one visit, then I would have established a precedent for reimbursement, and I would have submitted more claims. And if they denied those, I would have used as evidence that the service was reimbursable, the fact that they had reimbursed for the first visit. Anyway, that was my strategy. Didn't work, but I thought it had potential!

So can you just submit a claim for one visit and see how that goes?

It seems like the secretary would have established a standard protocol for how to bill insurance when the client is on sliding scale. She could just stick to that for you, and if your T objects that isn't what he wants in your case, he can take it up with his secretary and have her change her standard operating procedure. You shouldn't have to be involved in office protocol. Your T and his secretary need to work out their policies.

Best of luck. I hate insurance stuff (especially since they won't reimburse for my T -- grrrrr).