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General Parenting
neuropsychologist evaluation - Ins didn't pay enough
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<blockquote data-quote="bigblueagain" data-source="post: 4168" data-attributes="member: 909"><p>sorry just now getting a chance to see this post. Most managed cares DO NOT cover neuropsychologist evaluations I hate to let you know. They are in the gray area of whether it is a psychiatric evaluation or a medical one. Therefore most have to be preapproved and go thru much red tape to get approved. IF the doctors office told you insurance would cover it, (AND please I hope you have the date and name of WHO told you that) and if they are a managed care provider, then yes, you should be only responsible for the copay. The usual arrangement is with managed care providers that things that they do that they do not get approved on the front end and then are not covered they do have to write off. Keep that EOB and personally I would leave it go for now if the provider is not balance billing you. If they are then we will go to the next step. BLUE</p></blockquote><p></p>
[QUOTE="bigblueagain, post: 4168, member: 909"] sorry just now getting a chance to see this post. Most managed cares DO NOT cover neuropsychologist evaluations I hate to let you know. They are in the gray area of whether it is a psychiatric evaluation or a medical one. Therefore most have to be preapproved and go thru much red tape to get approved. IF the doctors office told you insurance would cover it, (AND please I hope you have the date and name of WHO told you that) and if they are a managed care provider, then yes, you should be only responsible for the copay. The usual arrangement is with managed care providers that things that they do that they do not get approved on the front end and then are not covered they do have to write off. Keep that EOB and personally I would leave it go for now if the provider is not balance billing you. If they are then we will go to the next step. BLUE [/QUOTE]
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neuropsychologist evaluation - Ins didn't pay enough
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