Navigating insurance for your child’s care can feel overwhelming, but at Brighter Care ABA, you’re not on your own. We provide full insurance management and authorization services for families in Virginia and Illinois to ensure the focus remains on your child’s progress rather than paperwork.
To get insurance coverage for Applied Behavior Analysis (ABA) therapy, follow these steps:
- Diagnosis and Referral: The process typically begins with a formal autism diagnosis and a referral from a qualified healthcare professional.
- Benefit Verification: When you contact us with your insurance details (Member ID and Group Number), we perform a free eligibility check to confirm your specific behavioral health benefits, deductibles, and copays.
- Prior Authorization: Most insurers require prior authorization for ABA therapy to establish medical necessity. Our team, led by Board Certified Behavior Analysts (BCBAs), handles this entire process by submitting the required clinical documentation, individualized treatment plans, and appropriate ABA therapy CPT codes (such as 97151 for assessments) to your carrier.
- Ongoing Management: Once therapy begins, we continue to manage re-authorizations, track claims, and coordinate with carriers like Anthem and Tricare. If a denial occurs, we advocate for your child by guiding you through the formal appeal process.
We serve families across Virginia and Illinois and are in-network with most major carriers. Results may vary based on individual patient circumstances; please consult with a healthcare professional for diagnosis or treatment advice. By using this Site you indicate your acceptance of our Privacy Policy.
A Bright Future is Waiting for Your Child. Contact us today to verify your benefits and take the first step to Succeed with ABA.
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