The purpose of this blog is to assist providers on obtaining insurance reimbursement for the treatment of Autism Spectrum Disorder Therapies (ASD). Please feel free to add your comments, suggestions, and personal experiences with different insurance carriers.

Friday, January 29, 2010

Insurance Updates

As the new year came in, so did new insurance contracts for our company. In the last months of 2009, our therapists became credentialed using CAQH, and we started being contacted by several insurance companies to see if our therapists are credentialed. Having therapists who are credentialed has helped secure a contract with Aetna, and we are waiting on word from Avmed at this time. Our therapists that are credentialed now appear in the therapist search on Cigna's behavioral website.

We are currently working with Tricare (Humana Military) and Cigna, and working on getting in with PsychCare, United Behavioral Health, and BCBS. Our applications are in and currently being reviewed. Something to share with everyone is that we have been in contact with Magellan, and they have said they are not covering behavioral services.

Now that the new year is here, has anyone else made moves for more insurance companies? If you have any questions or any information, please feel free to comment. Also, you can always contact us at Newwayday@gmail.com.

3 comments:

  1. We have received a contract from Aetna. The contract rates are low in terms of all the work it involves in getting insurance auth. and getting paid. I wonder if they have the same rates across the board for all ABA companies. If so, is there anything we can do to negotiate collaboratively for higher rates. Anyone have any thoughts on it? What are your experience in getting paid by insurance companies? I find it to be extremely time consuming.

    Jing

    ReplyDelete
  2. Jing,
    What rates did you get with Aetna? I think if we have that information we can better assess if it is the same rate across the board. Also, what are your billing processes? Do you bill monthly, weekly? Let us know and we can talk more.
    If you don't feel comfortable discussing this on the blog, you can email us at newwayday@Gmail.com.

    ReplyDelete
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