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General Parenting
neuropsychologist evaluation - Ins didn't pay enough
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<blockquote data-quote="OTE" data-source="post: 4167"><p>well I'm not the insur expert but I have had success in this area. first thing I do is go back to the evaluation office and ask them to re-bill changing the codes. eg this was NOT one visit, it was a series of visits over many hours. so they need to bill it as a series of visits, not one vist. they also need to put service codes on it to indicate testing, not regular visit if those are higher paying items.</p><p></p><p>Also.. since the purpose of this is the input to the IEP if Aetna doesn't pay it I'd ask the SD to pay it. My SD paid for evaluations that my insur didn't cover. I know this may be a harder sell in some SDs but I'd send them a letter and make a case for it. let them pay the Dr directly if they want to. But show them that it was done by a professional for the purpose of the IEP.</p></blockquote><p></p>
[QUOTE="OTE, post: 4167"] well I'm not the insur expert but I have had success in this area. first thing I do is go back to the evaluation office and ask them to re-bill changing the codes. eg this was NOT one visit, it was a series of visits over many hours. so they need to bill it as a series of visits, not one vist. they also need to put service codes on it to indicate testing, not regular visit if those are higher paying items. Also.. since the purpose of this is the input to the IEP if Aetna doesn't pay it I'd ask the SD to pay it. My SD paid for evaluations that my insur didn't cover. I know this may be a harder sell in some SDs but I'd send them a letter and make a case for it. let them pay the Dr directly if they want to. But show them that it was done by a professional for the purpose of the IEP. [/QUOTE]
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neuropsychologist evaluation - Ins didn't pay enough
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