What is Pre-Authorization?

Some mental health assessments/test(s) require pre-authorization. A pre-authorization is an approval your mental health provider needs to get from your health insurance company before you can complete certain mental health assessments or testing. Without prior authorization, your insurance plan may not pay for your testing, and you would be responsible for the full cost.

Why is it important?

Guarantees your insurance covers your sessions.
Prevents delays in starting your evaluation journey.
It may Save you money and time.

FAQs

Do I need pre-authorization for all assessments or mental health testing?
Not all assessments and or testing require pre-authorization. Contact your insurance provider to confirm.
How long does pre-authorization take?
Approval timelines vary by insurance provider. Currently, pre-authorization requests are processed within 14 days.
Who submits pre-authorizations?
We will usually submit pre-authorization information to your insurance company for you.
How do I prepare for future pre-authorizations?
Once approved, keep a record of your pre-authorizations in case you need to make the request again in the future.
What happens if pre-authorization is denied?
Talk to your provider and their office about what you will do if your pre-authorization request is denied. You and your provider may choose to appeal the decision if you think the prior authorization denial was not justified.