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Insurance Information

Creative Communication for Kids does not bill insurance companies directly. Parents are responsible for full payment at the time of billing. We generally bill at the end of the month, unless you request to be billed at each session. We accept checks or cash. The receipt you receive from us following your payment includes all the codes your insurance company needs to process your claim. They will then reimburse you (the parents) if services are a covered benefit.

Please be aware that insurance benefits for speech-language therapy vary greatly from insurance company to insurance company, and even between different policies with the same insurance carrier. If you are interested in seeking reimbursement, you should call your insurance company to find out about the coverage and any limitations of your plan.

We have provided a list of questions to assist you in gathering information from your insurance company to find out about your coverage. No matter what you are told on the phone, this is never a guarantee of coverage. But getting the most detailed and accurate information possible certainly helps you know what your insurance is likely to cover.

To see the list of questions for insurance, click here.

There will be two types of codes on your receipt, and the insurance company uses these codes to determine coverage.

Procedural codes = CPT codes. These identify the type of service provided. Most of our receipts will have the CPT code 92507, which identifies the service as individual speech-language therapy.

Diagnostic codes = ICD-10 codes. These identify your child's diagnosis, i.e. why the treatment is being provided. There are many of these codes, and the evaluation will help us determine which of these codes to use. Your receipt may have one or more diagnostic codes. Your insurance company may not cover certain diagnoses, so this is where it is important to know ahead of time about any conditions they specifically exclude.

Your insurance company may require periodic documentation and information from us, which requires additional time on our part. This time is billed at our regular hourly rate.

List of questions to ask your insurance company.

Information on insurance appeals.


 

To schedule an appointment, contact us at:
phone (408) 371-4004 or e-mail info@creativecommunicationforkids.com
 

Creative Communication for Kids

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