Billing, Payments & Insurance
Insurance: What You Need to Know
Empower Child Learning, like other practices that offer similar services, is considered an out-of-network provider by insurance companies. As a result, we do not accept insurance directly. However, your health insurance company may reimburse some or all of your child’s services.
Good Faith Estimates: The Good Faith Estimate (GFE) provision of the No Surprises Act is designed to give clients an estimate of how much they'll be charged for the healthcare services they'll be receiving, prior to their appointment. Good Faith Estimates are provided to clients and/or their parents/guardians about the cost of services and Current Procedural Terminology code (CPT) codes for services (if applicable). GFE are good for one year unless otherwise stated. For more information about the No Surprises Act please visit https://www.cms.gov/nosurprises.
To determine if you have coverage through your insurance carrier, we recommend giving them a call to ask some questions like:
Do I have coverage for [Service with ____ CPT code]?
How much is the coverage amount for [service]?
How much does my insurance pay for an out-of-network provider?
What is my deductible, and have I met it this year?
Do I need approval from my primary care physician?
Do I need to complete any paperwork prior to starting with Empower Child Learning?
If you decide to seek reimbursement for our services from your insurance carrier, we’re happy to provide a Superbill to assist you.
What is a Superbill?
A Superbill includes diagnosis code(s), dates and minutes of service, and CPT codes for service types. You can submit it directly to your insurance company to receive reimbursement.
What are CPT Codes?
A Current Procedural Terminology code, or CPT code, is a standardized numerical code used across medical service providers and insurance carriers to track and bill medical, surgical, and diagnostic services.
We provide CPT codes for families seeking reimbursement from their insurance carrier for services we provide for their child.
Below are CPT codes that could apply to our services. However, as we won’t know what best applies to your child until we work with them, you may ask your insurance about each code, and we can discuss it further.
CPT Service | Code | ||
Neuropsychological testing, evaluation by a psychologist | 96132, 96133, 96136, 96137 | ||
Evaluation of speech sound production | 92522 | ||
Evaluation of speech sound production; with evaluation of language comprehension and expression | 92523 | ||
Evaluation of speech fluency | 92523 | ||
Group Therapy | 90853 | ||
Psychotherapy 60 minutes | 90847 | ||
Speech and language therapy 60 minutes | 92507 | ||
Occupational therapy evaluation | 97166 |
Flexible Booking and Payment Options
A Superbill includes diagnosis code(s), dates and minutes of service, and CPT codes for service types. You can submit it directly to your insurance company to receive reimbursement.
Below are CPT codes that could apply to our services. However, as we won’t know what best applies to your child until we work with them, you may ask your insurance about each code, and we can discuss it further.
Booking Assessments & Evaluations
A deposit is processed to reserve an assessment appointment. The balance remaining is due on the final day of testing.
Cost-Effective Support Packages
For ongoing support, we offer packages for services like Executive Function Coaching at reduced prices.
Flexible Payment Options
We strive to make your payment process as convenient as possible. We accept all major credit and debit cards, as well as FSA and HSA cards.
We Proudly Accept CareCredit
Would You Like to Pay For Your Assessment Over Time?
Use the CareCredit credit card to help finance your healthcare needs! Now you can pay online with CareCredit at the time of care, when you get a post-care bill, or up to 30 days before your appointment, quickly and securely. Special financing options are available.* Visit www.carecredit.com to learn more. Ready to apply? Apply Online for your CareCredit card today.
*Subject to credit approval. Minimum monthly payments required. Ask us for details.
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