Always laugh when you can. It is cheap medicine. 

    ~Lord Byron.       

Why I do not accept insurance...

I learned the hard way how subjugation to the medical machine often leads away from  health and towards frustration and dis-ease - both mine and yours. Yet this "pain," like all pain, served an important purpose - its unpleasantness got my attention and was the push I needed to form the Center for Insight Medicine.

So I have chosen autonomy, which I believe leads to better results, more effective engagement on both our parts, and no one but us to communicate between, answer to, or dictate to either of us what can or can't be done. 

This has the following implications:

  • C.I.M. does not accept ANY insurance - payment is by credit*, debit, cash, or check.

  • At this point, C.I.M. has a very restricted scope for seeing Medicare, Medicaid, TennCare, etc (essentially ANY government-sponsored plan).

    • This has an enormous and irritating backstory, but the "machine" was built to prevent doctors to do what what we are doing at C.I.M. This was highly disappointing to discover, and the situation at C.I.M. may change at some point in the future, but for now, this keeps us legal.

    • In response, we require that Medicare patients attend the "Pain Science is Brain Science" lecture PRIOR to seeing Dr. Matt for a one-on-one consultation. 

    • If, after the class, there is still interest in seeing Dr. Matt, we offer the consultation free of charge to these populations for the purpose of diagnosis and determination of fitness for one of our later classes.

    • The Medicare, etc. prohibitions do NOT restrict your attendance in any of our Classes or Workshops as these are not being offered as clinical visits. 

Rates and Payment

At C.I.M, all services are charged based on time, rounded to the nearest 5 minutes (...Dr. Matt is pretty generous w/ this...). Each service has a regular rate listed in the bottom-left of each table below, however Dr. McClanahan has created tiers to serve as guidelines for discounting rates when needed (all fees include Osteopathic Manual Treatment, if indicated): ​​​


New Patient Visit


Established Patients (visits #2-5)


Established Patients (visit #6-10)



Established Patients (visit #11+)









New Pt Rates.png
Est Rates - 2-5.png
Est Rates - 6-10.png
Est Rates - 11+.png
Prolo Rates.png


  • A valid credit or debit card is required when scheduling your first and future appointments, which will remain on file for as long as you feel you will be seen at C.I.M.

  • Credit or debit is preferred for security reasons, but cash/check is acceptable. All major credit cards are accepted and run via Stripe, which is securely integrated with the EMR.

  • Payment in full is appreciated at the time of your visit, however we can make exceptions.

  • If you have a health savings account (HSA) or flex spending account (FSA) these are accepted, since this is a medical expense, and you will be provided an invoice and Superbill to submit.

  • At the end of every visit you will be provided with an invoice, detailing the services performed, the amount due/paid for the visit, & the manner in which it was paid. You'll also receive a Superbill, which is required by all insurers and includes all the usual and necessary medical codes and jargon.

Out-of-Network Insurance Filing

  • Again, C.I.M. accepts NO PAYMENTS FROM INSURANCE and we DO NOT file ANY claims. However, if your insurance plan allows for out-of-network benefits, C.I.M. will provide you with a Superbill with both diagnosis and procedural codes appropriate to the visit that most closely reflect the work done. These approximate the standard reimbursements for the usual "CPT" codes recognized by payers. You may then submit this superbill to your insurance for reimbursement.

  • However this NEVER applies to Medicare (or Advantage plans), Medicaid, TennCare, or Disability Insurance. If you have one of these plans you will not be given a Superbill.