October 24, 2026 Update:
Important Patient Billing Update
Information for patients who previously paid out of pocket for services
At Dysautonomia Management Center, we believe our patients deserve clear, accurate information about their healthcare costs.
We recently identified an issue involving our third-party billing service. Certain patient encounters that had been designated and paid for as self-pay visits were subsequently submitted to health insurance, despite not being included in our approved insurance-billing list.
We recognize that this may create confusion, particularly for patients who paid at the time of their appointment and later received an Explanation of Benefits (EOB) from their insurance company.
What does this mean for patients?
If you paid out of pocket for an appointment that was subsequently billed to insurance, your account may require review.
An insurance claim does not automatically mean the entire self-pay amount is refundable. The appropriate patient responsibility and any refund depend on the insurance claim's processing, applicable billing requirements, and payments already collected.
What are we doing to correct this?
We are initiating an account-by-account review to:
Identify affected self-pay encounters.
Verify claims submitted to insurance and their processing status.
Reconcile insurance payments and patient payments.
Identify any billing corrections or refunds that are necessary.
Establish additional safeguards to prevent unauthorized or incorrect claim submissions.
Will I receive a refund?
If the reconciliation determines that you have been overcharged or have a credit balance that must be returned, we will work to process the appropriate refund.
We understand that patients should not have to wait unnecessarily to receive money they are owed. We will provide individual updates as affected accounts are reviewed.
Do I need to do anything?
If you believe your self-pay visit was subsequently submitted to insurance, please contact our office securely through the patient portal.
Please do not share insurance numbers, medical information, or personal billing details in public comments.
Our commitment
Dysautonomia Management Center was founded to provide specialized, compassionate care to patients with complex autonomic conditions.
We know how difficult navigating the healthcare system can be. Our patients should not have to carry an additional administrative burden because of billing problems.
We are committed to addressing this issue transparently, correcting errors, and improving our billing processes.
Thank you for your patience and for allowing us to be part of your healthcare.
Dysautonomia Management Center
September 22, 2026 Update:
A quick scheduling update from DMC
As many of you know, Beth has POTS herself. That lived experience is part of what led to DMC, but it also means there is a limit to how many hours she can safely and sustainably see patients each week.
As our practice grows, we have to balance appointments for new patients with enough availability for our existing patients to receive appropriate follow-up care. Finding that balance is going to take some trial and error, and we want to be transparent with you as we work through it.
For now, we are scheduling five new-patient visits per week. This means the scheduling link may currently show new-patient availability several months out.
Around the middle of each month, I will review the following month's schedule. If there is additional capacity after allowing for follow-up care, I will announce that additional new-patient appointments have been opened.
We know waiting for care is frustrating, particularly when you're already not feeling well. We also don't want to accept more new patients than we can responsibly care for afterward. Our goal is to build a schedule that is sustainable for Beth while providing both new and established patients the time they need.
Thank you for your patience while we figure out what works best for our growing practice.
-We are officially in network with Capital Blue Cross. We have also started the process of adding Geisinger, UPMC, Maryland BCBS and AmeriHealth.
September 2026 Update:
I have good news and bad news this time.
-Independence Blue Cross declined our request to participate, stating only that York County is not in their credentialing area.
-Anthem remains closed to us, citing adequate network coverage. We are eligible to reapply in 6 months.
-We are still working to join Aetna.
-We have been approved to move forward with Capital Blue Cross. We are currently waiting on the final contracts, then we can begin billing with them.
-We have submitted enrollment applications for Medicaid in Pennsylvania and Virginia. We can’t submit for Maryland until their portal opens on 10/16.
-We are also still working on Federal Employee BCBS.
As we continue our growth, we will keep working to expand our insurance participation. Credentialing takes a significant amount of time and money, and as a new practice, our resources are still limited. We also know how frustrating it is for the patients whose insurance companies have declined to allow us to participate in their networks. We share that frustration. We genuinely wish we had better news for those patients, and we will continue pursuing every reasonable opportunity to make DMC accessible to as many people as possible.
August 2026 Update:
I have some unfortunate news regarding insurance. While we are actively working to expand insurance coverage for patients, joining an insurance network isn’t always as simple as just asking to participate.
-We requested to join Anthem. At this time, Anthem has indicated that their existing provider network is sufficient and it is not adding our practice to the network. We are in the process of appealing.
-We have also requested to join Aetna. Aetna has informed us they will not contract with an independently owned nurse practitioner practice unless a physician is also credentialed under the practice’s TIN. DMC is a private practice owned by a nurse practitioner. Per PA state law DMC has 2 collaborating physicians but they are not under our TIN. We are currently considering other options.
We want to be transparent about this because we know how frustrating it is to find a provider who specializes in dysautonomia— only to discover your insurance considers that provider out of network.
We are not excluding Anthem or Aetna patients and we welcome the opportunity to participate in both networks. We are also pursuing other contracts such as medicaid and Capital. Cash pay visits will continue to be available with the rates listed here and the opportunity to seek reimbursement from your insurance plan.
We will continue to provide updates as we get them. Thank you all so much for your patience and understanding and we look forward to caring for you as soon as possible.
August 2026 Update:
We are now in network with CareFirst, Cigna, Highmark, Medicare, Tricare and UHC. Still working on a few others and cash pay visits are still an option. I will send appointment links in batches and try to give the people who have been waiting the longest the first opportunities. I have a long list but if you need a link feel free to reach out. We are thrilled to finally offer our services to more of you. Thanks so much for your patience and we’ll see you soon.
August 2026 Update:
Starting the week of August 3 we are taking in person visits at our new office. If you’re looking for an in person visit, this is your opportunity. All virtual visits on those days will be honored as such. If you wish to change your visit to in person or reschedule your virtual visit you may do so on your portal or email us for help. We are so excited to begin this next chapter of our clinic and we look forward to serving you all soon.
July 2026 Update:
We have been overwhelmed by the response to Dysautonomia Management Center, and we are incredibly grateful for the interest and patience everyone has shown.
To make scheduling more efficient, we have updated our intake process. Rather than completing intake paperwork before scheduling, patients will now receive their appointment link first. Once an appointment is scheduled, our intake forms will automatically be sent for completion prior to the visit.
Appointment invitations are being sent in small batches in the order patients joined our waitlist. This allows us to gradually onboard new patients while ensuring each person receives the time and attention they deserve.
At this time, we are scheduling patients who indicated they are willing to pay cash while we continue waiting for insurance credentialing to be finalized. Insurance credentialing is a lengthy process, and each insurance company has its own timeline. As we become credentialed with additional insurance plans, we will post updates here and begin sending scheduling invitations to those patients.
Our goal has always been to make this process as fair as possible. While we strive to invite patients in the order they joined our waitlist, there are times when insurance participation and other logistical factors require some flexibility. We appreciate your understanding as we work to build a practice that will serve this community for many years to come.
A great many of you indicated you wished for more information on cash pay. Please see our page marked Cash Pay Rates for more information. If you still have questions do not hesitate to reach out at Inquiry@potsmedicalcenter.com. We will also begin sending scheduling invitations to patients who requested additional information about our cash-pay options. If you would like to schedule a cash-pay appointment, you are welcome to do so. If you prefer to wait until we accept your insurance, simply save your scheduling link. No further action is required and you will not lose your place on the list.
Thank you all so much for your patience, understanding and support, and we look forward to the chance to serve you all.
Warmest Regards,
Elizabeth Clark, MSN, CRNP, FNP-BC Founder and Provider
Christopher Hock, LPN Director of Operations (and husband)
September 2026 Update:
-We are now in network with Medicaid in Pennsylvania and Virginia. We will be applying to Maryland Medicaid when their portal opens in mid October.
-Wait times on the appointment links are a week or less. If you agreed to a cash pay visit or we are in network with your insurance company now, you should receive the appointment link within a week of submitting your information. Feel free to call or email me if you didn’t receive an appointment link email.