Insurance Concerns
![Picture](/uploads/1/2/3/2/12328970/5417539.jpg)
These services are generally not covered by most private insurance plans/policies. There are a very small few who cover consulatation services such as these and coverage may be minimal and has to be individually verified per plans and policies.
Medicare doesn't cover services for medical consulting as of 2010. To some extent, services for behavoiral health may be covered, but have to be individually verified prior to service initiation through a preauthorization process.
For clients interested in services and unsure if these are or can be covered by insurance, contact your insurance company and inquire or WE WILL BE GLAD TO CONTACT YOUR INSURANCE COMPANY ON YOUR BEHALF. There are some supplemental plans that do cover consulting services, but this has to be individually verified prior to initiation of service.
"Let's do our investigating!"
Medicare doesn't cover services for medical consulting as of 2010. To some extent, services for behavoiral health may be covered, but have to be individually verified prior to service initiation through a preauthorization process.
For clients interested in services and unsure if these are or can be covered by insurance, contact your insurance company and inquire or WE WILL BE GLAD TO CONTACT YOUR INSURANCE COMPANY ON YOUR BEHALF. There are some supplemental plans that do cover consulting services, but this has to be individually verified prior to initiation of service.
"Let's do our investigating!"
Insurance Negotiating
Insurance negotiations refer to the communicating process between Profusive Solutions and your insurance company in attempts to receive authorization for services needed either before or after a denial from the requesting organization. "A slow 'yes' is often better than a quick 'no.'" This can sometimes be a lengthy process, but we remain consistant, as our client's advocate, in order to receive authorization for services client is needing as long as they are included in client's insurance policy. When dealing with insurance companies for authorization, someone with clinical knowledge is USUALLY more successful than one without. Understanding what "paints" the appropriate clinical picture is often difficult for someone without in-depth clinical knowledge. Insurance companies often look for the "Picasso" when permitting pre-authorization for services. On the client's behalf, we communicate with insurance case managers in an effort to obtain coverage for medically necessary procedures/services as deemed necessary by healthcare providers.
There are no GUARANTEES, but we are certain that we will exhaust all options in an attempt to get what you need!
There are no GUARANTEES, but we are certain that we will exhaust all options in an attempt to get what you need!