Insurance Reimbursement

Our practice has made the conscious decision not to panel with insurance. While the client is responsible for the cost of services, this decision also provides several benefits. It ensures greater confidentiality as no third party will be informed about the services you receive. Additionally, you may be able to receive services without having a specific diagnosis. Not being paneled also provides us more flexibility in the services that we offer. Clients receive the time and attention they need without being restricted by insurance regulations. In working with families, we know that timeliness of assessment and services is important. The independence afforded to us by not being in-network with insurance allows us to provide services to our clients much more quickly than many psychologists in the area.

While we are not in-network with any insurance companies, some do provide reimbursement for services from out-of-network providers. To find out more about your benefits, you should contact your insurance provider directly to inquire if they reimburse for out-of-network providers. When you are speaking with them, ask if they cover services to address your area of concerns (ADHD, Learning Disorder, etc.). They may ask you for CPT codes, which describes the type of services you will receive. Our most commonly used codes are:

  • 90791

  • 96130 + 96131

  • 96136 + 96137

  • 90837

Some insurance companies may require a prior authorization code. If this is the case, you must request the code prior to visiting our office. While we require our clients to directly make payments to our practice, we will work with you to provide you what you need to be reimbursed by your insurance company. We can provide you a super bill including all appropriate codes to submit to your insurance company. Your reimbursement will be sent to you directly from your insurance provider based on your coverage.

Achievement Advantage is not involved with insurance reimbursement beyond providing a superbill to you. Because plans vary greatly, we are unable to provide you with information about your specific plan or guarantee reimbursement. Please make sure to check with your insurance provider for information.