Cash Pay Patients for Your Practice

No. The client/patient receives the awarded funds and can only use them for behavioral healthcare. You have an "Authorized Inheris Provider participation agreement", the terms under which Inheris pays you, not a billing or insurance relationship.

You charge for services at the time of service, exactly as you would for any cash-pay client/patient.

No. There is no insurance claim and no claim form. You (or your billing team) submit a simple bill in the portal: who was seen, when, and the amount. When it is approved, Inheris deposits the payment directly into the bank account you have on file, over standard bank rails.

No. Every award is funded and spent at full face value, so 100% of the donor's gift goes to care. The 7% is a Transaction Fee you pay Inheris semi-monthly, on the cash rates you set. It never touches the charitable award.

Three published fees, all billed on your semi-monthly Fee Invoice: a one time enrollment fee, a monthly directory fee, and the 7% Transaction Fee on the cash rates you set for funded sessions. Current amounts are in the pricing above, and the enrollment page shows the exact fees for your practice before you submit. None of them ever comes out of a client's award.

Once, on your first semi-monthly Fee Invoice after your enrollment is complete and your practice is set up to be paid. The price shown when you accept the fees on the enrollment page is the price you pay, even if you finish enrolling after a price change.

It depends on how your practice is set up. A solo practitioner pays one flat monthly amount. A group practice pays a monthly base plus an amount for each clinician NPI on its roster, counted at the start of each billing period. Interns and students without their own NPI are always free, since they never add to the count. Facilities and hospitals pay one flat monthly amount. It keeps your practice listed in the Authorized Inheris Provider Directory, and it is billed in two equal parts on your semi-monthly Fee Invoice, even in a period with no funded sessions.

You set your own rates. Each provider or provider organization supplies its published cash rate schedule when completing the participation agreement with Inheris.

Inheris does not set rates. You determine your cash rates, sliding-scale policy, no-show policy, and related charges.

Please use your own words. In short, you might say: "We work with an organization that uses donations to fund behavioral health care. You may want to apply to see if they can cover some of your care costs. People who qualify receive $2,500 to pay for the care they need."

Alternatively: "This is a grant you can use to pay for your care, like a pre-paid healthcare card. You'll have a quick conversation with one of their team members by phone or video, and they'll probably check in about once a month, but you never have to speak with them again if you don't choose to."

Information about their financial situation, income, household circumstances, and other qualifying information. The specifics of diagnoses, clinical symptoms, and other healthcare details are not recorded. No demographic information is recorded, including legal status, race, ethnicity, or sexual orientation, as these protected data are never part of determining award eligibility.

No. Inheris is only a payment mechanism. We will never ask you about the client/patient, and we will never request any protected health information.

When you charge a client/patient's card, the card issuer "knows" the client/patient paid a behavioral health clinic for something, but they (and Inheris) won't know what service was provided, what diagnosis or clinical formulation was recorded, or anything beyond a payment transaction.

There's no need. Inheris is only a payment mechanism. We will never ask you about the client/patient, and we will never request any protected health information.

No. Donor funds can only be used for direct care. Your client/patient financial-responsibility agreement is always in place, and you may charge these fees directly to the client/patient.

One of our goals is to prevent providers from becoming the "donor of last resort," where a client/patient can't afford care and your professional obligations prevent you from discharging them.

An Inheris Award is designed to provide rapid access and a short-term bridge, not a replacement for insurance coverage or an ongoing financial solution. We encourage you to work with the client/patient throughout care to either conclude treatment at the end of the coverage period or make alternative arrangements, at your clinical discretion and within your clinic's policies.

No. We keep the client/patient apprised of their award balance; you don't need to pre-verify each visit. You can always see each client/patient's current balance on the My Recipients page of your provider portal.

No. We pay for care for all ages. A parent or guardian must apply on behalf of a minor child or legally dependent adult.

Yes, as long as the other requirements are met and the associate or trainee is working within the supervision requirements of their licensure and your state.

There is none. Inheris is a philanthropic payment rail; you accept payment just like cash.

If a client/patient is using insurance and chooses to pay co-pays or their deductible share of cost with Inheris, any prior authorization for the insurance portion is governed by your existing contract with the client/patient's carrier.

No. Inheris is a philanthropic payment rail; you accept payment just like cash. There is no utilization or concurrent review.

If a client/patient is using insurance and chooses to pay co-pays or their deductible share with Inheris, any review for the insurance portion is governed by your existing contract with the client/patient's carrier.

None. Any quality or clinical outcome data would constitute protected health information, and a payment mechanism does not need, or have a right to, PHI. Inheris will never request any protected health information.