Insurance Parity Resources 

[Your Name, Credentials]
Licensed Clinical Mental Health Counselor (LCMHC)
[Practice Name]
[Address]
[Phone Number]
[Email Address]
[Date]

To:
[Insurance Company Name]
[Provider Relations Department]
[Address if known or “via email” if you’re sending electronically]

Subject: Mental Health Parity Request and Reimbursement Rate Review

Dear [Provider Relations Representative or specific name if known],

I am writing to formally request a review of reimbursement practices in accordance with the Mental Health Parity and Addiction Equity Act (MHPAEA). As a Licensed Clinical Mental Health Counselor (LCMHC) with [X] years of experience providing essential mental health services, I am concerned that current reimbursement rates and policies are inconsistent with parity requirements relative to clinical behavioral health services.

While I deeply value my relationship with [Insurance Company Name], the current contracted rates for outpatient behavioral health services do not adequately reflect the time, expertise, and scope of care provided. Comparable services within the medical field are reimbursed at significantly higher rates, despite similar CPT codes, licensure levels, and clinical complexity.

I am requesting the following:

1. A review of current contracted reimbursement rates for CPT codes [list the ones you commonly bill, e.g., 90791, 90834, 90837], with consideration for a rate adjustment aligned with current market standards and inflation-adjusted rates.
2. Transparency regarding rate-setting policies and any internal benchmarks or methodologies used to determine therapist compensation.
3. Confirmation of compliance with federal parity laws, specifically regarding reimbursement equity for behavioral health services compared to analogous physical health services.

This request is made not only on behalf of my own practice, but also in the interest of increasing access to high-quality mental health care. Inadequate reimbursement leads to provider burnout, limited availability, and long wait times—ultimately impacting patient outcomes.

Thank you for your attention to this matter and for your ongoing support of behavioral health providers. I look forward to your timely response.