New Patients

Here are the answers to some of the questions you may be having as a new patient. If you can’t find the answer to your question, be sure to contact us!

FAQ

Here are the answers to some of the questions you may be having as a new patient. If you can’t find the answer to your question, be sure to contact us!

Do you file claims with my health insurance?

We are not contracted with Medicare, Medicaid or any commercial insurance companies and we do not file any claims. We do provide you with an itemized receipt for any billable services that includes the CPT and ICD-10 codes necessary to file your own claim if you choose to do so. Please note that not all of the services we offer are billable to insurance.

Will your doctors be my new primary care physician / primary neurologist?

No. We ask all of our patients to maintain a relationship with a primary care physician and/or primary neurologist. Our physicians have chosen not to practice in a hospital setting, therefore we encourage you to maintain a relationship with a physician who can provide care to you in the hospital if it becomes necessary.

Can I speak to or meet the doctors before I decide to schedule a new patient visit?

Due to our busy schedule and the needs of our patient population, we don’t offer an option for speaking with the Doctors prior to an initial consult. However, there are several ways you can get to know about us and determine whether or not our practice is a good fit for you. We have several videos online HERE of seminars and webinars we’ve given in the past. We also conduct periodic in-person groups, called our Brain Restoration Academy & Support Group, which anyone, whether a patient or not, can attend to hear and interact with the BRC team. Connect with us on Facebook or Instagram for updates.

What to Expect

When you become a patient at BRC you will schedule a one-hour telehealth consultation via video conference. During that hour you will consult with both physicians (two for the price of one!) who will introduce themselves, explain the unique approach offered at Brain Restoration Clinic, gather the patient’s medical and family history, do a limited exam over the video feed, and order any labs and/or other tests they feel are appropriate.

Once your initial visit is complete, you may want to consider becoming a BRC Member patient, which provides many benefits and discounts for services, devices, and supplements. The BRC membership program information will be provided to you.

Approximately 3-4 weeks after your initial consult, you will have a follow-up review of findings consult. This may be either via video conference or in-person depending on what the physicians feel is most appropriate at this stage. Our review of findings will be discussed, any urgent questions or concerns will be addressed, and an initial treatment plan will be recommended.

Going forward, follow-up appointments can be made as needed or in a comprehensive package of visits. Follow-up visits are typically done via video conference unless the physicians specify that an in-person appointment is needed.

Insurance

Brain Restoration Clinic does not participate in any commercial insurance plans, Medicare or Medicaid. However, if you have commercial insurance (Blue Cross Blue Shield, Cigna, Aetna, etc.) you may be able to file your own out-of-network claim for reimbursement of the services you have paid for at Brain Restoration Clinic! If you have Medicare or Medicaid as your primary insurance, you will not be eligible for any reimbursement as they only reimburse for in-network providers.

What to ask your insurance company:

If you want to be proactive and find out what you may expect when filing an out-of-network claim, you can begin by calling the phone number on the back of your insurance card. Be sure to ask the following questions:

What are my out-of-network benefits?
Do I have an out-of-network deductible, and if so, is it separate from my in-network deductible?
How much of my out-of-network deductible has been met so far this calendar year?
How do I submit a claim for reimbursement (is there a special form I need to fill out)?

How to file your out-of-network claim:

Your insurance company may have a specific form they require you to fill out in order to submit your own claim for reimbursement. Either the insurance company or your human resources department can supply this form to you. They will need the following information (all of which can be found on your itemized “insurance invoice” that we provide to you once you have paid for your service at BRC):

Date of service
Provider name, address and NPI #
Provider Tax ID #
CPT (procedure) code(s) and description of service
ICD-10 (diagnosis) code(s)

Depending on your specific plan, they may also require a copy of your itemized receipt and/or office notes from the date of service you are filing for.

Claims submitted by a laboratory:

If our physicians order lab tests that are billable to insurance, the laboratory that processes the test(s) will submit the claim on your behalf. We at BRC do not have access to this claim information, therefore, any questions you have about how these claims are processed should be directed to the laboratory. Likewise, if you want to find out what your out-of-pocket costs may be before submitting a specimen, you can call the laboratory directly.

At BRC, we use a variety of tools including:

Rational use of pharmaceuticals (that we deem safe based on pharmacogenetic or DNA testing) Click here
Nutraceuticals (dietary supplements) including some of our BRC supplements e.g. Total Brain Restoration that supports total brain health and recall ability, provides nutrients that support antioxidant and mitochondrial mechanisms as well as protein and amino acids for neurotransmitter production.
Electroceuticals (cutting edge therapeutic agents which act by targeting the neural circuits of organs and modulating them, that is providing neuromodulation)

To better understand the above, see the following links: