The hospital is a provider for most major insurance plans. We provide insurance billing.
Insurance companies’ policies differ regarding services that may not be covered or may require pre-authorization. Please contact your health insurance company to see if the evaluations you are requesting are covered on your plan. Your insurance policy may also require you to pay a co-payment at the time of appointment. If you have any questions regarding which insurance plans we accept or any patient billing concerns, please call us at the telephone number listed on our contact page.
Please Note: Insurance companies DO NOT pay for educational evaluations.
Educationally-related questions/issues are not considered to be “medically necessary” by health insurers, and therefore are not considered a covered service. Sometimes school systems agree to pay for these evaluations.
Neuropsychological and Psychological Evaluation - requires pre-authorization by most insurance companies. Please see your primary care physician for an evaluation.
If your child needs a neuropsychological or psychological evaluation you will need to contact your primary care physician (for those who have a Blue Cross/Blue Shield Plan) or your insurance company (for all other insurance companies) to obtain pre-authorization.
In order for the CCSN to schedule this evaluation you must provide us with the authorization number obtained from the insurance company as well as the number of hours/units approved.
Speech/Language Evaluation - requires pre-authorization from your insurance company. Some insurance companies just require a referral for the speech/language evaluation.
You will need to contact your primary care physician or your insurance company directly to get approval. Please make sure that the pre-authorization/referral is for an evaluation and not for speech therapy.
Developmental-Behavioral Pediatrics Evaluation - You will need to get a referral from your child’s primary care physician (for 3 visits). The referral should be made out to the specific pediatrician (name will be sent to you in the appointment letter) that your child will be seeing at the CCSN In addition to billing for the consultation with the doctor, we will also bill for a developmental evaluation (insurance procedure code #96111) and possibly for other services (code #’s 99358, 99354 and #99420).
If these services are not covered by your insurance company we will bill you directly. Since this is a medical evaluation the school system will not pay for this type of evaluation.
Payment Options Other Than Insurance
If your child has had testing at his/her school within the past 16 months and you have concerns about or disagree with the school’s findings or recommendations, he/she may be eligible to receive further testing at the CCSN at your school system’s expense. This is called an Independent Evaluation. You should make your request for an Independent Evaluation in writing and be very specific about what evaluations you are requesting. In order to determine if the school will pay for some or all of the testing they may ask for income information to determine eligibility. We will need a written letter/contract from the school system authorizing payment for such services before we can schedule the evaluations you are requesting.
You may pay for this service out-of-pocket on the day your child is seen. We require full payment at the time of your appointment.
You can pay using:
- Personal checks
- American Express