Insurance

For minors, any testing considered “educational” to test for learning disabilities, attention or achievement level will typically not be covered unless this testing is part of a group of tests looking at other psychological conditions. Since the public school system can evaluate for educational issues, insurance companies may consider any private educational testing not “medically [...]

If you intend to submit claims to your insurance carrier and your policy has a preauthorization requirement, then yes this needs to be completed before any testing can occur. Genesis can submit this for you as it will need clinical information and coding. We will provide you a form to gather information of what is [...]

Preauthorization may be required by an insurance company for assessments. This is determined by the coverage guidelines of individual policies. If pre-authorization is required and not obtained, insurance companies will deny any claims filed so it needs to be completed before any testing is to occur. Pre-authorization is not a guarantee of insurance reimbursement.

Insurance companies have teams of specialists who will review and approve coverage for assessment services only once the assessment is complete and the resulting diagnosis is provided. They do not consider psychological testing “medically necessary” for “experimental” or “investigational” diagnoses. Diagnoses considered “experimental” or “investigational” vary depending on the insurance carrier and are subjective to [...]

Since mental health insurance can be subjectively reviewed by your insurance carrier, we legally cannot take responsibility for determining your coverage should the final result be different from the original estimate. As a provider we also are limited in our access to your specific policy information, and are not provided details such as family deductible [...]