www.e-psychiatry.com Open in urlscan Pro
216.240.177.58  Public Scan

Submitted URL: http://email.e-psychiatry.co/c/eJxNjb0KwjAYRZ8m2Vq-_DVxyFAQwUF0cHH88meLjZY2UPr2xk04d7kH7g0WVddBR0fLgXNQNUxqydoQhURgxjhMXmtFJM...
Effective URL: https://www.e-psychiatry.com/Imagine
Submission: On May 23 via api from US — Scanned from DE

Form analysis 2 forms found in the DOM

Name: recommend_friends_form

<form name="recommend_friends_form" id="recommend_friends_form" action="">
  <div class="no_provider">
    <div class="thankU">
      <h2 id="recommend_friends_message">Thank you for recommending e-Psychiatry to your friend or colleague. Please provide the brief information requested below, and “Send” to invite others to e-Psychiatry.com.</h2>
    </div>
    <div class="pop_cont_outer">
      <p>
        <input class="check_box" type="radio" name="share_name" value="share_name" id="share_name"><span class="check_box_cont">Share my name with the people who received my recommendation.</span>
      </p>
      <p class="share_my_name">
        <input class="check_box" type="radio" name="share_name" value="no_share" id="no_share"><span class="check_box_cont">Don't share my name with the people who receive my recommendation (anonymous recommendation).</span>
      </p>
      <span class="share_name_error error-name"></span>
    </div>
    <div class="thankU">
      <div class="col-sm-12 bor_add_ptrovder recomend_pop_up">
        <div class="row">
          <div id="invite_type_options">
            <input type="radio" name="invite_type" class="invite_not_anonymous" value="not_anonymous"> Let others know I invited them to e-Psychiatry<br>
            <input type="radio" name="invite_type" class="invite_anonymous" value="anonymous"> Don't let others know I invited them to e-Psychiatry <span class="invite_type_error_msg"></span>
          </div>
          <table>
            <tbody>
              <tr>
                <th>Title</th>
                <th>First Name</th>
                <th>Last Name</th>
                <th>Email</th>
                <th>&nbsp;</th>
              </tr>
              <tr class="provider_row">
                <td>
                  <select name="provider_title[]" class="provider_title" autocomplete="off">
                    <option value="">Select Title</option>
                    <option value="Dr." name="pro_title[]">Dr.</option>
                    <option value="Mr." name="pro_title[]">Mr.</option>
                    <option value="Ms." name="pro_title[]">Ms.</option>
                  </select>
                </td>
                <td> <input type="text" name="fname[]" class="fname" id="fname" value=""></td>
                <td><input type="text" name="lname[]" class="lname" id="lname" value=""></td>
                <td> <input type="text" name="email[]" class="email" id="email" value=""></td>
                <td>&nbsp;</td>
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              <tr class="">
                <td>&nbsp;</td>
                <td>&nbsp;</td>
                <td>&nbsp;</td>
                <td> <a class="add_prov blue_btn" style="color:#fff;" href="javascript:void(0);" id="add_friend1">Add More</a></td>
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    <div class="thankBtn">
      <div class="thank-btns">
        <input type="hidden" name="method" value="recommend_friends">
        <a href="javascript:void(0);" title="Send" type="submit" id="recommend_friends_submit" class="blue_btn radius3 trans">Send</a>
        <a href="javascript:void(0);" title="Cancel" id="close_recommend_friends_modal" class="orange_btn radius3 trans">Cancel</a>
      </div>
    </div>
  </div>
</form>

Name: share_form

<form name="share_form" id="share_form" action="">
  <div class="no_provider">
    <div class="thankU">
      <div class="col-sm-12 bor_add_ptrovder recomend_pop_up">
        <div class="row">
          <!--<table>
                                            <tr>
                                                <th>First Name</th>
                                                <th>Last Name</th>
                                                <th>Email</th>
                                                <th>&nbsp;</th>
                                            </tr>
                                            <tr > 
                                                <td> <input type="text" name="fname" id="share_fname" value=""/><span class="fname_error" style="color:red; font-size:14px;"></span></td>
                                                <td><input type="text" name="lname" id="share_lname" value=""/><span class="lname_error" style="color:red; font-size:14px;"></span></td>
                                                <td> <input type="text" name="email" id="share_email" value=""/><span class="email_error" style="color:red; font-size:14px;"></span></td>
                                                 <td>&nbsp;</td>
                                            </tr>
                                        </table>-->
          <div class="pop_filds">
            <p>First Name</p>
            <div class="fild_name">
              <input type="text" name="fname" id="share_fname" value="">
              <span class="fname_error" style="color:red; font-size:14px;"></span>
            </div>
          </div>
          <div class="pop_filds">
            <p>Last Name</p>
            <div class="fild_name">
              <input type="text" name="lname" id="share_lname" value="">
              <span class="lname_error" style="color:red; font-size:14px;"></span>
            </div>
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          <div class="pop_filds">
            <p>Email</p>
            <div class="fild_name">
              <input type="text" name="email" id="share_email" value="">
              <span class="email_error" style="color:red; font-size:14px;"></span>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="thankBtn">
      <div class="thank-btns">
        <input type="hidden" name="method" value="share_details">
        <a href="javascript:void(0);" title="Submit" type="submit" id="share_form_submit" class="blue_btn radius3 trans">Submit</a>
        <a href="javascript:void(0);" title="Cancel" id="close_share_popup" class="orange_btn radius3 trans">Cancel</a>
      </div>
    </div>
  </div>
</form>

Text Content

   Login Sign Up
 * Home
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   * Launch a Telepsych Program
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For HIPAA security purposes, please click “Yes” below to confirm you are still
actively using the e-Psychiatry platform. If you are no longer using the
platform, please save your work and log out. Otherwise, the system will timeout
in minutes.

Yes


TELEPSYCHIATRY & TELETHERAPY…
IMAGINE THE POSSIBILITIES!

Congratulations! You have joined the many hospitals, clinics and practices in
your state that have discovered the advantages of telepsychiatry and
teletherapy. Whether you are staffing your outpatient clinic, inpatient unit, or
other service - the good news is this is just the tip of the iceberg.
e-Psychiatry’s providers deliver all the same services as on-site providers –
with many advantages…

“The Tip of the Iceberg…”

Thousands of Providers: e-Psychiatry’s panel offers psychiatrists, nurse
practitioners, psychologists, and therapists in all 50 states who are seeking
long-term relationships with facilities like yours.


ALL SERVICES

 * Patient Evaluations
 * Clinical Supervision
 * Medications Management
 * Staff/Patient Rounds
 * Psychotherapy
 * Medical Director Duties
 * Crisis Intervention
 * Quality Committee Participation
 * ED Consults
 * Utilization Review
 * PCP Curbside Consults
 * Policy & Process Development
 * Medical Floor Consults
 * Client Marketing
 * Patient Family Sessions
 * Account Relations


ALL AGES

 * Children
 * Adults
 * Adolescents
 * Geriatric


ALL LEVELS OF CARE

 * Inpatient
 * PHP
 * Outpatient
 * RTC
 * ED
 * IOP


e-Psychiatry’s Advantages


e-Psychiatry offers hospitals, clinics and provider practices advanced access to
our large US credentialed telepsych provider panel, and our HIPAA secure
web-based e-PsychiatryProTM videoconference platform for simple, cost effective
treatment of all mental health and substance use conditions. Use your existing
PC or Mac for videoconference sessions - no new tech expenses or IT expertise
required. e-Psychiatry’s providers follow your clinic schedule and document
directly into your EMR. E-Psychiatry’s telepsych services are popular with users
of all ages, and reimbursed by Medicare, Medicaid and virtually all commercial
insurers at same or higher rates than on-site providers.e-Psychiatry’s long-term
contracted clinicians require no benefits, and we cover their medical
malpractice insurance. e-Psychiatry is supported by the payers, facilities,
providers and patients who value timely access, to price competitive, high
quality care. For more information, contact your Account Executive at
Psychiatrists@e-Psychiatry.com and visit www.e-Psychiatry.com today!


THANK YOU FOR RECOMMENDING E-PSYCHIATRY TO YOUR FRIEND OR COLLEAGUE. PLEASE
PROVIDE THE BRIEF INFORMATION REQUESTED BELOW, AND “SEND” TO INVITE OTHERS TO
E-PSYCHIATRY.COM.

Share my name with the people who received my recommendation.

Don't share my name with the people who receive my recommendation (anonymous
recommendation).

Let others know I invited them to e-Psychiatry
Don't let others know I invited them to e-Psychiatry

Title First Name Last Name Email   Select Title Dr. Mr. Ms.         Add More  

Send Cancel

First Name



Last Name



Email


Submit Cancel

Close


YOUR KEYBOARD'S CAPS LOCK IS ON, IF YOU WANT TO CONTINUE AS CAPS LOCK ON CLICK
"OK" AND CONTINUE.

Ok


INITIAL CONSULT


Initial Consult Fee:

The patient pays this full fee by payment card at the end of your session.
The patient receives a payment receipt from e-Psychiatry they can use if they
plan to seek reimbursement from an insurer. The patient has been advised that
e-Psychiatry cannot guarantee insurer reimbursement, and that the patient should
confirm this in advance of your session.


If you are a participating ("par") provider with this patient’s insurer, you may
use the Initial Consult Fee shown above, or you may apply your own separate fee
schedule with this insurer. If you intend to apply your separately contracted
fee schedule with this insurer, please notify your patient in advance, and be
sure to follow your contractual obligations with this insurer related to patient
copays, coinsurance, and insurer claims submission. In rare instances, if the
services you provide during your initial consult are inconsistent with a
standard initial consult CPT code and fee, you may apply an alternative CPT code
and associated fee if appropriate.


e-Psychiatry Admin Fee:


Stripe Financial Fee: Your Stripe account fee for processing the patient’s
payment is approximately 3% of the fee that the patient pays to you on the date
of service (there is no Stripe fee for the claim amount you submit to the
insurer).


Fee Schedule for Follow Up Sessions: If you decide to continue treating this
patient beyond your initial appointment, your fee schedule for this patient will
be displayed to you at that time.


Reminder: Be sure to indicate your private practice fees in your Provider
Profile.


INITIAL CONSULT


Initial Consult Fee:

Providers charge the patient a copay or coinsurance, and submit a claim to the
payer for the rest of the fee. Please confirm the patient's copay or coinsurance
and deductible in advance of your session by contacting the payer's Benefits
Department (see below).





The patient has been advised in advance that e-Psychiatry cannot guarantee
insurer reimbursement, and that the patient should confirm this in advance of
your session.


If you are a participating (“par”) provider with this patient’s insurer, you may
use the Initial Consult Fee shown above, or you may apply your own separate fee
schedule with this insurer. If you intend to apply your separately contracted
fee schedule with this insurer, please notify your patient in advance, and be
sure to follow your contractual obligations with this insurer related to patient
copays, coinsurance, and insurer claims submission. In rare instances, if the
services you provide during your initial consult are inconsistent with a
standard initial consult CPT code and fee, you may apply an alternative CPT code
and associated fee if appropriate.


e-Psychiatry Admin Fee:


Stripe Financial Fee: Your Stripe account fee for processing the patient’s
payment is approximately 3% of the fee that the patient pays to you on the date
of service (there is no Stripe fee for the claim amount you submit to the
insurer).


Fee Schedule for Follow Up Sessions: If you decide to continue treating this
patient beyond your initial appointment, your fee schedule for this patient will
be displayed to you at that time.


Reminder: Be sure to indicate your private practice fees in your Provider
Profile.




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