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Invoice a client on a sliding scale

Learn how to submit invoices for clients on a sliding scale.

Updated over 3 months ago

If you want to see a client on a sliding scale, you can adjust the pricing of their sessions before submitting an invoice. Any client billed on a sliding scale must be cash-paying and cannot have insurance associated with their account.

Note: Providers on Grow's platform must charge for cash pay sessions conducted and invoiced on Grow's platform. Check out this information if you're interested in offering pro bono sessions.


Before you begin


To confirm that a client is currently on cash pay and not associated with insurance, navigate to the Clients dashboard, select their client record, and ensure 'Cash (Out-of-Pocket)' appears in the Insurance field of their Client Information card.

If the client is using insurance, contact them and instruct them to swap their "My Coverage" settings from Insurance to Cash, Out-of-Pocket by following the steps outlined in this Client Help Center guide.


Submit an adjusted invoice


Video Walkthrough

Written Walkthrough

The default fee for all cash-pay clients is set in the Basic Information section of your Profile Settings. To adjust this default fee before submitting an invoice:

  • Navigate to Appointments in your provider portal.

  • Select the Unsubmitted tab and locate the desired client's appointment.

  • Select the Submit Invoice option on the appointment.

Submit an invoice
  • Fill in and confirm the session notes and select Submit.

  • Fill in and confirm the invoice details, ensuring you update the default value in the 'Self-pay visit price' field to the desired amount for this particular client before selecting the Submit button in the top right.

🌟TIP: If you received a session type or time error while confirming the invoice details, check out this guide to learn why it occurred and how to resolve it.

Self-Pay Visit Price

Pro Bono Policy


Please consider the following if your client is experiencing financial hardship or you would like to offer pro bono work in addition to your existing Grow practice.

  • Grow cares deeply about supporting clients in financial need. To do so, Grow provides services with coverage through government programs like Medicaid.

  • Grow Therapy is not involved in billing or provisioning pro bono sessions. However, providers can offer pro bono sessions at their discretion by submitting a $0 claim (invoice) if the patient is listed as self-pay (cash).

  • If you choose to provide pro bono services, you are responsible for determining if a client qualifies for waived payments and fees (i.e., meets the standards for financial hardship), as contractual and legal requirements with payors often prohibit the routine discounting and waiver of payments without proper cause.

  • When submitting a $0 claim for self-pay (cash), Grow will not bill insurance companies or offer additional billing support concerning that claim (invoice).

  • Platforms like GiveAnHour and Open Path Collective are reputable services that facilitate pro bono care in addition to your Grow Therapy run practice.

  • If your client is in crisis, please complete this form to receive a crisis care extension.

Submit a pro bono claim

To submit a $0 claim (invoice) for a self-pay (cash) client, submit an invoice as you normally would. In the "Invoice Details" step, update the "Self-pay visit price" from your practice's default value to $0 before submitting.

Pro Bono Invoice Update Example

After submitting the claim (invoice), the subsequent appointment details screen will show the expected payout for the appointment as $0.

Expected payout for a pro bono session
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