We accept most insurances. However, all insurances do not provide coverage for all services. Also, we are
enrolled in several insurance panels as individuals, so not all clinicians will be on the same insurance panels. Please
check with your health insurance carrier to make sure that the clinician with whom you have an appointment is a provider with
your insurance. It is also important to check to see if you need prior authorization for an appointment with us. If
you do, it is important that you obtain authorization prior to the appointment, or you might be financially responsible for
the appointment. When you obtain prior authorization, please obtain a general authorization. If you desire a specialized
service, such as psychological testing, we will discuss that at your appointment and then determine what further steps we
might need to take to get it approved.
We have had great difficulty getting insurance companies to pay for
neurofeedback and brain mapping. We have had a number of health insurance companies assure us and our patients that
these services were covered to be provided by us, only to have the companies deny the claims, resulting in very time consuming
and frustrating attempts by us and our patients to get the insurance companies to pay for these services. Therefore,
if you speak to your insurance company and the representative agrees that the service is covered, clarify that we are covered
to provide the service and GET IT IN WRITING. Unfortunately, if they refuse to authorize what they say in writing, then
there is no guarantee that the services will be paid for.
If you are interested in checking with
your insurance carrier about coverage for neurofeedback training, you can ask
them if your benefits include the following procedure codes, if they are covered for the specific provider you will be seeing,if you need prior approval for these services and what they pay for the
services;
90876
Individual psychophysiological therapy including
biofeedback
90901 Biofeedback
90812 Individual psychotherapy assisted with a device
If you are interested in checking with your insurance carrier about coverage for brain
mapping (quantitative EEG), you can ask them if your benefits include the following procedure codes, if they are covered for the specific provider you
will be seeing, what diagnoses
they are covered for, if you need prior approval for these services
and what they pay for the services:
95816 Digital EEG recording
95957 Digital EEG analysis
99090 Referece EEG database
95812 EEG extended recording, 41-60 min
