Home

Our Philosophy

Our Clinicians

Areas of Specialty

Services Offered

Speech & Language Information

FAQ

Forms

Policies

Insurance Information

Holiday & Vacation Schedule

Directions

Nearby Businesses

Contact Us

Insurance Appeals

An insurance appeal will require work on your part, and likely some work on our part as well. Any work on our part will be billed at the regular hourly rate.

Information your insurer should provide to you when denying a claim:

  • A statement of specific medical and scientific reason for denial.
  • A statement identifying the provision that excludes treatment.
  • The name, state of licensing, medical license number, and title of the person making the denial decision.
  • A description of alternative treatment, services, or supplies that are covered, if any.
  • Instructions for initiating internal appeals of denial, including whether your appeal has to be in writing, time limits, schedules for filing, and the name and phone number of a contact person.
  • Instructions for filing an external request for review if the denial is upheld in the internal review.
If you do not receive this information from the insurer, ask for it in writing.

(Source: State departments of insurance)

Parent letter of appeal – first level appeal

Parent letter of appeal – second level appeal

Parent letter of appeal – based on ‘not medically necessary’


 

To schedule an appointment, contact us at:
phone (408) 371-4004 or e-mail info@creativecommunicationforkids.com
 

Creative Communication for Kids, 880 East Campbell Avenue, Suite 203 Campbell, CA 95008, fax (408) 371-5024

Copyright © 2007-2013