Kittell Clinic is unique in that it is a patient-centric clinic and employs the direct pay practice model versus the traditional method. In a direct pay clinic, payment is from the patient only; insurance is not filed. While we don’t file insurance, we do provide patients with the necessary documentation to provide to their insurance companies should the patient decide to file for non-network benefits. Each insurance carrier is different, but many do offer some type of coverage for out-of-network providers.