Reply to Is an autism diagnosis retroactive for insurance purposes?

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Reply to "Is an autism diagnosis retroactive for insurance purposes?"

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Unlikely. When you got there therapy service, you should have been getting the insurable diagnosis at the same time. [/quote]

Thanks, but I genuinely have no idea what this means. OTs and SLPs do not diagnose autism.[/quote]

What dx code did the therapists use when submitting to insurance? [b]Has your insurance told you that the service would be covered if billed under autism?[/b]

Since as you say she was always autistic, I would ask the service providers to resubmit using F84.0.[/quote]

Of course not. That would require them to want to help me get my claims approved.

They didn't tell me I needed prior authorization until I called about why claims were denied. They also didn't tell me the superbills didn't have the right codes on them - a provider noticed that. Now, we have to wait 15 days for the prior authorizations to go through (assuming they admit that they received them, which they haven't yet). Then we will find out if they approved the prior authorizations, and see if they approve the claims with the new codes. I asked about the diagnosis but they did not provide any answer for me.

Each phone call requires spending a minimum of 20 minutes on hold. I am losing patience and we are only getting started.[/quote]

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