Getting Started

Insurance Questions & Answers

We're happy to provide you with advice and recommendations for getting your insurance information organized, please call the Client Accounts Team at 704-332-4834.  

At the end of the evaluation process, we are eager to move forward in providing specialized therapeutic services that target specific areas of difficulty using evidence-based interventions, progress monitoring and comprehensive coordination of care with your child’s healthcare team. Throughout regular treatment sessions, our experienced clinical team will utilize a variety of interventions, techniques and devices to best adapt their treatment plan for your child. In addition to direct therapeutic interventions, evaluation and management (E&M) of your child’s progress will be provided as a form of best practice to ensure comprehensive care. Our clinicians can also provide time outside of regular treatment sessions for phone calls, consultations with families/schools and to meet with caregivers without the child present.  These services are not billable to insurance, but are provided at a self pay rate.  Read more:

Common Insurance Terms

Authorization - Approval from the insurance plan for a covered service to be eligible for payment.

Benefit Period - The period of time during which incurred charges for covered services provided to a member must be incurred in order to be eligible for payment.

COBRA - The Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) requires most employers with group health plans to offer employees the opportunity to continue temporarily their group health care coverage under their employer's plan if their coverage otherwise would cease due to termination, layoff, or other change in employment status (referred to as "qualifying events").

Copay - The fixed dollar amount that is due and payable by the member at the time a covered service is provided.

Coinsurance - The sharing of charges by an insurance plan and the member for covered services received by the member, usually stated as a percentage.

EOB (Explanation Of Benefits) - The description claim(s) processed by the insurance carrier. It typically includes the billed charges, payments, reason for denial(s) and member responsibility.

NCS (non covered service) - A service that is not covered by the insurance plan.

OOP - An out of pocket cost to the member.