Each insurance company has medical based guidelines that we must follow to access the benefits provided in their policy. There are two components to this process:
Pre-certification: We call the insurance company and inform them the patient is here. Insurance will then approve the initial admission and will give us a date to review the patient’s progress.
Concurrent Reviews: We call the insurance company to report the patient’s progress. The insurance company will then approve the use of benefits for a specific time and set a date for the next review. This step is repeated as many times as the insurance company requires.
We work diligently to maximize the treatment days available for each patient. Our counselors keep the clients informed of their insurance status.