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Kids With Special Needs and Disabilities
Reply to "Therapy coverage appeal "
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[quote=Anonymous]DC uses an out of network therapist, and I got it covered on appeal. I had to prove no in network option was available (I read the insurance benefits guide to figure this out, and also used AI). I did this by searching for in network options in close proximity to our house. Then I contacted all of these providers to inquire about in person sessions (I argued virtual wouldn't work bc of ADHD and age), specialty with children, and after school hours (arguing school would get worse of they had to regularly miss, adding to anxiety). This resulted in NO in network providers. I appealed - rejected. I appealed again, approved. [/quote]
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