Our Services

ABA Therapy Billing and Insurance Services will successfully streamline your intake process through careful navigation of insurance requirements, professional interface with care coordinators, acquiring accurate authorizations and ongoing support and consultation to your agency.

Benefit and Authorization Management

• Receive Insurance intake information from office
• Careful insurance eligibility reviews
• Documentation of eligibility terms including information regarding eligible diagnostic codes,CPT codes, subscriber deductible, co-payments and reimbursement caps
• Navigate insurance authorization requirements
• Facilitate understanding of insurance company’s unique standards for service delivery, including assessment, treatment planning, 1:1 therapy, data collections and supervision
• Prepare, submit and monitor all request for authorization, including sumitting periodic treatment plans
• Single case agreements for out-of-network referrals

We offer insurance credentialing services to help guide your agency through the process of becoming an in-network provider with managed care companies.

Network Participation Management

• Procurement of contracts with leading insurance companies
• Rate Negotiations
• National Provider Identifier (NPI) support
• CAQH Provider Application and Credentialing support
• In-Network credentialing for all practicing providers

We establish effective billing and collection practices to facilitate reimbursement of all billable insurance claims and subscriber responsibility.

Claims Management

• Establish effective billing practices
• One point of contact for all claims
• Registration with available online billing portals
• Professional preparation and prompt submission of insurance claims
• Careful claims monitoring with follow-up on all rejected, denied and underpaid claims
• Monthly invoices for co-payments and co-insurance
• On demand customer care