Insurance Information

We are a “private pay” clinic, meaning that all of our services must be paid for by the guardians of the client or the adult client themselves. We do not accept 3rd party reimbursements. We recognize that obtaining insurance coverage may be a difficult process and we wish to do what we can to make this difficult process easier. We strongly encourage families to keep their own copies of their invoices and any reports or written updates we send to them each month that are available on the Simple Practice portal. We do NOT process insurance claims on behalf of a client or family. Our role is to provide records when and if they are requested by a family in order for the client/parent to submit such claims to their respective insurance company.

Some insurance companies will only reimburse for specific ICD-10 Diagnostic Codes. On your billing statement, we include the diagnostic code from medical reports provided by the client. We cannot enter a medical diagnostic code based on an educational classification alone. For any client that does not have a medical diagnosis on file we will use the default code, ICD-10: R69 Unspecified diagnosis (a non medical insurance code). Our statements also include a procedure code to reflect the service provided:

• Treatment of speech, language, voice, communication, and/or auditory processing disorder, group- 92508

• Treatment of speech, language, voice, communication, and/or auditory processing disorder, individual- 92507

• Therapeutic interventions that focus on cognitive function/ executive functioning- 97129

• Caregiver training- 97551