Does your client manage to get 100% of the fee reimbursed by the insurer? the other issue is that my client charges more than insurer's maximum fee, apart from moving away from taking caseload from insurance, is there any other solution please?
Being on the insured side of medical claim, this is how it works: I get ill, go to the GP, he refers me to a specialist. I call my private medical insurance, they authorise my visit to a specialist and either recommend someone they have contract with or go with the one I chose. There is an upper limit of fee that the insurance company will pay to my specialist and if a specialist I chose charges more, I will pay the difference (never really happened in real life for me so far). When I see a specialist, he sends me a copy of invoice and he gets paid directly by insurance company so I don't deal with it myself.
I think it is only with travel insurance when you pay for your treatment abroad and then reclaim it from the insurance company later.
that was my first thought exactly, if an insurance company was a supplier, then no VAT is to be claimed on their services (insurance) but I've never come across the situation when the insurance company-client would not pay VAT. This is an established relationship between the psychotherapist company and the insurance company (i.e. not just a one-off transaction), it only became an issue when the company reached VAT threshold.
I feel your pain, their appalling customer service was the reason I decided not to be partners with them. Whatever IRIS touches, descends into a complete mess...
My answers
Does your client manage to get 100% of the fee reimbursed by the insurer? the other issue is that my client charges more than insurer's maximum fee, apart from moving away from taking caseload from insurance, is there any other solution please?
that's interesting, I never had to pay myself and then claim from the insurance. Good to know! :-)
Being on the insured side of medical claim, this is how it works: I get ill, go to the GP, he refers me to a specialist. I call my private medical insurance, they authorise my visit to a specialist and either recommend someone they have contract with or go with the one I chose. There is an upper limit of fee that the insurance company will pay to my specialist and if a specialist I chose charges more, I will pay the difference (never really happened in real life for me so far). When I see a specialist, he sends me a copy of invoice and he gets paid directly by insurance company so I don't deal with it myself.
I think it is only with travel insurance when you pay for your treatment abroad and then reclaim it from the insurance company later.
that was my first thought exactly, if an insurance company was a supplier, then no VAT is to be claimed on their services (insurance) but I've never come across the situation when the insurance company-client would not pay VAT. This is an established relationship between the psychotherapist company and the insurance company (i.e. not just a one-off transaction), it only became an issue when the company reached VAT threshold.
I feel your pain, their appalling customer service was the reason I decided not to be partners with them. Whatever IRIS touches, descends into a complete mess...
I would do the same. Don’t forget to use the calendar days when prorating though! :-)