The process of obtaining insurance coverage for services can be straightforward or rather complex.  The following information is provided in an effort to assure that sessions will be covered and to avoid a potentially long wait before discovering that they will not be.

General Information:

· Speech-language evaluation is billed under procedure/CPT code 92523

· Speech-language therapy is billed under procedure/CPT code 92507

· Services are billed under the NPI for Bright Speech and Language, LLC 1447846845

Please use the information above, along with the questions listed below, to gather information regarding your specific insurance policy.  We will need to know as much as possible before helping determine whether your insurance will cover services.

· Is there prior authorization / pre-approval / precertification required, and what is the process for obtaining?

· Is there a mention of “medical necessity,” and how is that determined?

· Are referrals required from your pediatrician?

· How many sessions are available, and do these reset on the calendar year or is it a lifetime benefit?

· Are you responsible for any % of the cost?

Please understand that it is our wish to work with your family as quickly and as easily as possible, and thank you for your help with this process.