my question goes to how one submits the reimbursement. I guess the best practice is to have a conversation with the payor in advance to disclosse what you are doing, and then somehow come up with a fair quote for the current cash going rate. I'm industrious, so the second part is easy. Its the awkwardness of discussing this with the payor where I would appreciate suggestions. Good point about employers not wanting to get involved due to tax reporting issues.