Insurance

We verify your coverage before you are scheduled.

We electronically check the benefits your health plan reports for neuropsychological evaluation, so you have information about your expected coverage before your appointment is scheduled.

Check your coverage

Verify your benefits before you request an evaluation

It takes about a minute and does not commit you to anything.

We participate with certain products and networks, not every plan from a listed carrier. Copy the exact plan and network from your card. If either is unclear, leave it blank for office review.

This checks your plan electronically and is not a guarantee of payment. If we cannot confirm it automatically, the office checks by hand — nobody is turned away because of a system problem.

Participating plans

Insurance participation requires plan review

Our office participates with certain plans offered by these insurance companies, but not all of them. We need to review the exact product and network on your insurance card before determining whether we participate with your plan. UnitedHealthcare Community Plan is not accepted.

  • AARP
  • Emblem Health
  • GHI
  • Healthfirst
  • Medicare
  • Northwell Direct
  • NYSHIP/Empire
  • No Fault
  • Oxford
  • UHC – CPP
  • UHC – UMR
  • Workers’ Comp

A listed carrier name does not establish participation with every product, network, affiliate, or administrator. Network participation and benefits for neuropsychological evaluation are reviewed separately.

Benefits verification

How verification works

As part of your online evaluation request, we use the information you provide about your insurance to electronically check the benefits your health plan reports for neuropsychological evaluation.

Insurance companies vary in the information they provide, and some evaluations may require prior authorization or additional documentation. If additional information is needed, our office will follow up with you before scheduling.

  • Whether your plan is active and in force
  • Your copay for the relevant benefit category
  • Your coinsurance percentage
  • Your deductible, and how much of it remains
  • Whether prior authorization appears to be required

Verification is not a guarantee of payment

This is what your insurance company reports during verification, not a guarantee of payment. Your final responsibility is determined by your plan and by how the claim is processed. Our staff will confirm your exact benefits before your visit.

You remain responsible for any deductibles, copayments, coinsurance, or non-covered services determined by your insurance company. We will never tell you a service is definitely covered, and we will never quote you a figure your insurer did not actually return.

Billing codes

The codes testing is billed under

If you want to check coverage with your carrier yourself, these are the codes to ask about. Quoting them gets you a far more precise answer than asking about neuropsychological testing generally.

96116
Neurobehavioral status exam, first hour
96121
Neurobehavioral status exam, each additional hour
96132
Neuropsychological testing evaluation, first hour
96133
Neuropsychological testing evaluation, each additional hour
96136
Test administration and scoring, first 30 minutes
96137
Test administration and scoring, each additional 30 minutes

Payment

When payment is due

Copayments, deductibles, coinsurance, and private-pay fees are due at the time of your appointment.

If testing is not covered by your insurance, private-pay options may be available and our office will discuss the fees with you before anything is scheduled. You will not be surprised by a bill.

If you would like to discuss financial arrangements or a payment plan, please speak with our billing office — they can help in ways the front desk cannot.

Check your coverage as part of your request

The online request runs your benefits check for you.

If you are experiencing a medical emergency, call 911 or go to the nearest emergency department. This practice does not provide emergency or crisis services.