Payment is due at the end of each session. I use a secure HIPAA-compliant electronic medical records platform to charge clients' cards, either debit, credit, or HSA. I am out-of-network with insurance companies. If a client's insurance has out-of-network benefits, they may submit a claim to their insurance with a superbill that I provide for reimbursement or deductible application. I want my clients to be able to afford the help they need, and so I offer a sliding scale based on annual household income.