Insurance Authorization

The basic process for insurance authorization is as follows:

  1. Family submits current insurance card, proof of diagnosis within 6 months, and physician recommendation for ABA services to RCS.
  2. RCS submits information to insurance company for initial assessment authorization.
  3. Insurer authorizes or rejects submission.
  4. If authorized, RCS completes an initial assessment which includes direct observation and assessment and parent interview.
  5. RCS writes a treatment plan which includes proposed objectives and recommended number of hours. 
  6. Treatment plan is submitted to insurance.
  7. Insurance authorizes or rejects request for services.
  8. Once services are authorized, a service re-authorization request, including an updated treatment plan, can be submitted to insurance prior to the authorization end date.
  9. Insurance authorizes or rejects continued services.
For more information about consultative services, please contact the Director of Consulting, Jennifer Rutland at 508-650-5990 or jrutland@RCSConsultingNE.com.
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