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cigna eap provider reimbursement rates

CAQH System Help Desk. If you are struggling to pick the right companies to increase your caseload, consider working with our mental health billing service to get these sorts of questions answered, along with all your billing, with way less headache along the way. The closer you are in proximity to under-served locales, the higher you can expect your rates to be priced. You could move to Alaska. Results 0-20 of 446. Each system is clunky and the enrollments take quite some time. Submit claims using the appropriate medical Current Procedural Terminology (CPT) Evaluation and Management code. Free Account Setup - we input your data at signup. In Section 156 of Chapter 68 of the Acts of 2011, the Legislature directed the Office of the reimbursement rates in March 201 0 after Network Healths President, Christina Severin, submitted testimony as part of the 2010 Health Care Cost Trend Hearings held by the Division The rate changes are in progress and claims will be adjusted in the upcoming weeks. Medicaid. Eligibility & Benefits Verification (in 2 business days), EAP / Medicare / Medicaid / TriCare Billing, Month-by-Month Contract: No risk trial period. Internal Medicine. Example: play therapy using dolls or other toys. After services have been provided, you may submit your claim for reimbursement on providerexpress.com Update your EAP status online on Provider Express Individual Providers can update their EAP status by logging in to providerexpress.com and clicking Edit under General Information from their Practice Information page. This letter is a request for an increase in reimbursement rates for the routine outpatient mental health services that I provide and have provided to (Aetna, Cigna, UHC) clients for _____ years. Get access to thousands of forms. Heres that same charge but with a calculated reduction on rates of 40%: The reduced rate here isnt the exact amount Medicare pays out but represents a rough estimate of the suggested reduction to expect from Medicare. Health Care Providers | Cigna 4) Multiply your contracted rate for each CPT code by 1.05. Given that Cigna Behavioral health services has many different types of plans, it is important to remember to obtain an assignment of benefits to receive direct payment from Cigna Behavioral Health or the claims payor. He co-founded a mental health insurance billing service for therapists called TheraThink in 2014 to specifically solve their insurance billing problems. He works in Burlington, MA and 3 other locations and specializes in Starting September 1, 2021, Cigna Behavioral Health, Inc. became Evernorth Behavioral Health, Inc. 25 Years Experience. If you have any questions or would like more information about participating in a Cigna health care network, please contact us. Most clients also have a secondary insurance company to bill alongside their Medicare coverage. Are you looking to increase the number of sessions you do? We offer an mental health billing service to end all your insurance and claims nightmares! If you want to be able to work with all companies without any problems, any reputable insurance billing service will be able to help do the aforementioned billing complexities without you having to be involved. Last Published 04.24.2022. Please call your provider to understand his/her current telehealth capabilities. Eligibility & Benefits Verification (in 2 business days), EAP / Medicare / Medicaid / TriCare Billing, Month-by-Month Contract: No risk trial period. Additional time after first 60 minutes. Mental Health Reimbursement Rates by Insurance Company [2023] Thank you. Employee Assistance Program Services | Cigna Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of South Carolina, Inc., and Cigna HealthCare of Texas, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see Example: Psychiatrist evaluates medication response, then has 30 minute session. We cant blame you. Example: What you think is UHC is actually Medicaid via UHC and while youre in-network with UHC, youre out of network with their Medicaid network; your claims get denied. No one ever has access to contracted rate information until an EOB is issued for out of network providers OR youve been accepted as Follow the step-by-step instructions below to design your Cagney EAP claims form: Select the document you want to sign and click Upload. Preventive care services The PPACA has designated specific resources that identify the preventive services required for coverage. Add in the unnecessarily difficult insurance billing system and we run the risk of working way over full-time. Let us handle handle your insurance billing so you can focus on your practice. Your secure provider portal for working with Cigna. Find a Provider | Beacon Health Options cigna eap provider reimbursement ratesnegative economic impact grant georgia. This was accomplished by adjusting the direct and indirect cost factors according to the proportion of personnel costs in an average agency accounted for by the top level versus the other four practitioner levels. The rate changes are in progress and claims will be adjusted in the upcoming weeks. As a result, mental health reimbursement rates for Medicare are higher than Medicaid rates by a substantial margin. When a plan is subcontracted out to a different insurance provider, often times that network is smaller and offers different, lower rates. Depending on your present Cigna fee schedule, the new fee schedule could mean a substantial increase. Many Medicaid polices are subcontracted out to lower paying organizations. For the same reason that Medicare is hard to bill, except that each state has their own contract instead of each region (see Medicare map). Make sure you understand exactly which Medicaid panels you are enrolling with, including if youre in-network with their commercial or Medicaid or HMO or PPO or EPO plans. cigna behavioral health. Also, if you have a Cigna employee assistance program (EAP) call us first at (877) 622-4327. 2014 reimbursement rate table modifiers are to be. They depend on your: Your reimbursement rates are most dramatically influenced by your education and license, baring living in a few locations that are dying for more mental health providers (e.g. Part of the reason why is Medicare is more selective with their network. If youre an LPC, LMFT, or newly licensed provider, you might find these companies are a good fit. cigna eap provider reimbursement rates cigna life assistance program brochure cigna eap webcasts cigna eap jobs employee assistance program providers cigna claims Create this form in 5 minutes! access Cignas Employee Assistance Program services by phone or online 24 hours a day, 7 days a week. EAP services are in addition to, not instead of, your health plan benefits. cigna eap provider reimbursement rates - roseandsoninc.com Strategically speaking, your first big decision is your level of licensing and continued education you have sought or will seek. This reimbursement policy applies to all health care services billed on CMS 1500 forms and, when specified, to services billed on the UB-04 claim form and to electronic claim submissions (i.e., 837p and 837i) and for claims submitted online through provider portals. Location, paying more for under-served locales and less for over-served locations. Heres a look at what they suggest normal private insurance rates are by CPT code, nationally: Medicare reduces insurance reimbursement rates for psychotherapy on a relative basis. The truth is there are no guarantees about your contracted rates and this article certainly is not one. Your specialization is optimized when deciding what youre going to study or what you will choose to study in the future. If the individual does not have an EAP code, please call Provider Services at 800.926.2273 to secure the code on behalf of the individual. Billing and Reimbursement BCBSIL Provider Manual Rev 6/10 5 b. CAQH Provider Help Desk. Want to skip all this wall of text nonsense about the intricacies of mental health reimbursement rates and just focus on doing therapy? Medicare customers Reasonable provider reimbursement. Step 1: Add the EAP to the insurance database, giving it an obvious title (' Optum EAP', for example,). Available 24/7/365 youll get guidance and information on anything from urgent clinical needs to Work/Life issues. Cigna Insurance Company It is unique in that their reimbursement rates do not vary based on behavioral health service provided. Psychotherapy, 30 minutes (16-37 minutes). R27 - Related Services, Supplies, Drugs, and Equipment. cigna eap provider reimbursement rates Posted by on Jun 10, 2022 in coyote sightings map pinellas county | churro cheesecake recipe 2006 upper deck football checklist and the service map for each insurance company youre applying to. We strongly encourage all our providers we work with to request an annual fee schedule adjustment to match inflation. We will update the Emergency Room Services (R36) reimbursement policy to reflect this change. Want higher income per client? Here is another example of Medicaid determined private rates; specifically Medicaid Reimbursement Rates for Mental Health Services in Mississippi: Again, these are the rates that have been determined as average payment rates by insurance based on research done by that States medicaid program, in this case Mississippi. 09/01/2021. Explanation of how an authorization is obtained, amount paid by insurance, amount paid by with established national CMS rates for vaccine administration billed under the medical benefit Engaging customers and providers. I cannot capture in words the value to me of TheraThink. refers to Tel-Drug, Inc. and Tel-Drug of Pennsylvania, L.L.C. Cigna / MHN EAP CPT Code. National injectable imunization fee schedule. Except for the noted phone-only codes, services must be interactive . Individual/Clinic Contracted Services Services Rev codes Preferred CPT/HCPCS codes Authorization Required Billing Form Applied Behavioral Analysis (ABA) N/A 0362T, 0373T, 97151 - 97158 Call to verify. You can call, text, or email us about any claim, anytime, and hear back that day. Anthems EAP Electronic Data Interchange (EDI) allows providers to submit claims and retrieve remittance advices and claim file acknowledgements from the insurance carrier or clearinghouse online. On the other hand, if you are only one of a small handful of providers in a town, city, or state, you may see a significantly higher insurance reimbursement rate for psychotherapy. Your access portal for updated claims and reports is secured via our HTTPS/SSL/TLS secured server. Its likely to be one of the following: These taxonomy codes reflect specializations of treatment related to your specific mental health provider license. It would be convenient for them to have multiple mental health providers on staff who specialize in different things. Medicaid can be the trickiest of them all, not listed here. They can help you cope with a wide variety of concerns, from family and financial issues to substance use, emotional health, and stress. Its worth noting that none of these are impossible to bill but each company has particularities about their claims filing process, operational speed, and subcontracting policy, which can lead to a higher likelihood of problems and a longer claims and revenue cycle. Evaluation and Management code for 60 minutes of psychotherapy (used with 90837). With this license comes, normally, the lowest or entry level rates for working with insurance companies providing mental health services. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. 301kB. refers to Tel-Drug, Inc. and Tel-Drug of Pennsylvania, L.L.C. It cannot be stated enough: the following information is not direct information from each of these insurance companies but rather is an average of fee schedules based exclusively on contracts with these companies. Mental health partial hospitalization, treatment. The Cigna Behavioral Health, Inc. ("CBH") Participating Provider Agreement requires that claims be submitted within 60 days from the date of covered service. cigna eap provider reimbursement rates - malipost.net Consider hiring a service like TheraThink that exclusively does mental health insurance billing. Behavioral Appeals Cover Sheet. If you dont want to deal with this mess, consider hiring us to do your billing and handle this for you. We understand that it's important to actually be able to speak to someone about your billing. (This isnt always the case!). a listing of the legal entities Psychotherapy, 45 minutes (38-52 minutes). kala makala mk s soprano ukulele. that insure or administer group HMO, dental HMO, and other products or services in your state). Evaluation and Management services, including Preventive Medicine, Individual Counseling codes 99401 99404, and Preventive Medicine, Group Counseling codes 99411 99412 billed on the same day as 96150 96154. We understand that it's important to actually be able to speak to someone about your billing. For mental health credentialing, we are quick to recommend Aetna, Cigna, and if your license allows it, Medicare (not eligible: LPC, LMFT). 2020 Cigna Medicare Provider Manual - Version 4 INT_20_82989_C Page 1 of 123 Payment is made according to the rate specified in the Cigna Behavioral Health Participating Provider Agreement. Insurance companies operate in a similar way. Create this form in 5 minutes! cigna eap statement of understanding. login.quickAccessLink.resources.clinicalTitle Find appeal policies, claim editing procedures and laboratory and reimbursement information critical to working with Cigna. We're here to help. PDF Evernorth Behavioral Health Authorization and Billing Resource - Cigna As a result, many providers get stuck with lower insurance reimbursement rates for psychotherapy without realizing they are being underpaid. R28 - Genetic Testing Panels. Likewise, Medicaid pays out differing rates based on very specific criteria and coding. Both Optum and Cigna require the inclusion of the Authorization number on the claim. We are your billing staff here to help. 30 minute psychotherapy add-on. Medicaid doesnt pay that much!! Each state runs their BCBS in their own way so ask colleagues as well. Cigna Deviations from CMS While Cigna APC reimbursement follows CMS in most situations, Cigna uses a modified version of the CMS OPPS APC payment methodology for its reimbursement of hospital out-patient services. As a result, its better to think about your taxonomy code and insurance reimbursement rates for mental health more in terms of your level of education and license in your state. Cigna's Employee Assistance Program (EAP) Our EAP provides confidential support and assistance to your employees and anyone in the household. We're here to help If you have any questions or would like more information about participating in a Cigna health care network, please contact us. Cigna may not control the content or links of non-Cigna websites. Both Optum and Cigna require the inclusion of the Authorization number on the claim. You can simply Google your NPI number to find your license information including your taxonomy. R26 - Physician Interpretation and Report (I&R) Services. The average hourly rate for EAP Counselor in companies like CIGNA CORP range from $34 to $42 with the average hourly pay of $38. Again, this is a case by case situation youll need to research and address. cigna eap jobs. You want to get paid quickly, in full, and not have to do more than spend 10 or 15 minutes to input your weekly calendar. Theres nothing you can do when a company like Florida Blue hasnt accepted mental health providers in years. ResourcesClinical Reimbursement Policies and Payment Policies. DHMOOrthoReferralForm.pdf (PDF) My daily insurance billing time now is less than five minutes for a full day of appointments. Cigna is tricky when it comes to out of network negotiations. Cigna Eap Billing Form - Fill Out and Sign Printable PDF Template | signNow Look at the Blue Card network (all Blue plans in your state). Family or couples psychotherapy, with patient present. Avoid subcontracted plans if you dont understand them. Likewise, EAP sessions have far more hoops, billing nuance, and prior-to-session manual labor (authorizations) involved in billing. Get Form Find out what you need to know about Cigna reimbursement policies and procedures. This information does not take into account the effect of the license or practitioner level on total reimbursement rate. This website is not intended for residents of New Mexico. The average Cigna salary ranges from approximately $30,518 per year for Claims Processor to $131,297 per year for Full Stack Developer. The National Association of Social Workers (NASW) is delighted that clinical social workers can now receive Medicare reimbursement for psychotherapy services provided via audio-only devices such as 2020. The information, tools, and resources you need to support the day-to-day needs of your office are all on the Cigna for Health Care Providers' website,CignaforHCP.com: We're continually adding new features to increase efficiency, giving you more time to support your patients. Mental health reimbursement rates vary dramatically. Our Employee Assistance Program (EAP) provides access to work/life resources, and licensed clinicians. We've assembled tools and training materials to help practices build the skills to provide care that meets every patient's unique social, cultural, and linguistic needs. The Cigna name, logos, and other Washington, D.C. Mental Health CPT Code List with Reimbursement Rates [PDF and Tool] Mental Health CPT Code List Quickly review our mental health CPT code list to find the code you're after and the 2020 Medicare reimbursement rate as well. And if you dont even know what Blue Card programs apply to your state or you need a free customized quote thats specific to your needs, we are happy to help. Comparing Commercial and Medicare Professional Service Prices All Rights Reserved. Phone: 888-600-9802. caqh.updadmin@acsgs.com. He co-founded a mental health insurance billing service for therapists called TheraThink in 2014 to specifically solve their insurance billing problems. Skip ahead to see mental health reimbursement rates by CPT code! 20. The reason I would recommend working with Medicaid is to establish a very busy practice (perhaps with a billing team on your side) and/or because you want to serve this population of folks in need. My cost is a percentage of what is insurance-approved and its my favorite bill to pay each month! Insurance companies tend not to change, nor adjust, your rates for inflation if you do not personally request a raise or update of your fee schedule. Expect rates insurance reimbursement rates for psychotherapy to be in the lowest tier of payment. You'll always be able to get in touch. Below is an sample list of insurance reimbursement rates for one national insurance company, with roughly the same license, LICSW / Level 3 License, across multiple states, for a 60 minute individual therapy session: Again, these are estimated rates for a typical 60 minute session for an entry-level mental health license. The maximum reimbursement rates allowed for anesthesiologist services (CPT codes 00100 thru 01999) are derived by adding the base unit (for the procedure code) plus the time units (15 minutes per unit) and multiplying by a conversion factor. If you live in San Francisco, Los Angeles, Seattle, or many cities with high levels of education, there tend to be an abundance of mental health providers serving those locales. 3 of 2 97151 (15 min) 97156 (15 min) T1023 (per measure reported) LOC State Location Name BCBA-D/BCBA/Assistant BCBA-Ds BCBAs BCaBAs BTs BCBA-Ds BCBAs BCaBAs BCBA-D/BCBA/Assistant BCBA-D/BCBA When calling, the customer will talk to a Personal Advocate who will EAPs have incentive to negotiate rates. Medicaid requirements for licensing vary state by state. Additional information For more information about our reimbursement policies, log in to the Cigna for Health All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, Laboratory Services: Online Resource--01/25/2016: Referrals: Online Resource--02/09/2021: Reimbursement: Similar Job Titles: Specimen Validity Testing Reimbursement Policy (Retired) Spravato Reimbursement Policy. Find the rate that Medicare pays per mental health CPT code in 2022 below. Please note that this policy does not . Authorization requirement is dependent upon benefit plan. All of these cost components were summed to yield an annual cost for the service for the particular practitioner level. Evernorth Provider - Resources - Behavioral Health Forms Additional time after the additional time of 74 minutes. Insurance Reimbursement Rates for Psychotherapy, Insurance Reimbursement Rates for Psychiatrists, Beginners Guide To Mental Health Billing, Credentialing Recommendations for New Practices, Highest Paying Insurance Companies for Mental Health, Medicare Reimbursement Rates [Search by CPT Code], Inquire about our mental health insurance billing service, offload your mental health insurance billing, Psychological Diagnostic Evaluation with Medication Management, Individual Psychotherapy with Evaluation and Management Services, 30 minutes, Individual Psychotherapy with Evaluation and Management Services, 45 minutes, Individual Psychotherapy with Evaluation and Management Services, 60 minutes, Individual Crisis Psychotherapy initial 60 min, Individual Crisis Psychotherapy initial 60 min, each additional 30 min, Evaluation and Management Services, Outpatient, New Patient, Evaluation and Management Services, Outpatient, Established Patient, Family psychotherapy without patient, 50 minutes, Family psychotherapy with patient, 50 minutes, Assessment of aphasia and cognitive performance, Developmental testing administration by a physician or qualified health care professional, 1st hr, Developmental testing administration by a physician or qualified health care professional, each additional hour, Neurobehavioral status exam performed by a physician or qualified health professional, first hour, Neurobehavioral status exam performed by a physician or qualified health professional, additional hour, Standardized cognitive performance test administered by health care professional, Brief emotional and behavioral assessment, Psychological testing and evaluation by a physician or qualified health care professional, first hour, Psychological testing and evaluation by a physician or qualified health care professional, each additional hour, Neuropsychological testing and evaluation by a physician or qualified health care professional, first hour, Neuropsychological testing and evaluation by a physician or qualified health care professional, each additional hour, Neuropsychological or psychological test administration and scoring by a physician or qualified health care professional, first hour, Neuropsychological or psychological test administration and scoring by a physician or qualified health care professional, each additional hour, Neuropsychological or psychological test administration and scoring by a technician, first hour, Neuropsychological or psychological test administration and scoring by a technician, each additional hour, Psychiatric Diagnostic Evaluation (usually just one/client is covered). Mental Health Care | Cigna Preview- How to Bill Cigna EAP (Employee Assistance Program) Review of the CMS1500 Claim form and the procedure code used for Cigna Behavioral EAP. Dr. Thaddeus J. Nigborowicz, MD. high speed chase sumter sc 2021 5. These insurance reimbursement rates for psychotherapy vary by state, by license, taxonomy, and other factors. Electronic Funds Transfer (EFT) Electronic Remittance Advice (ERA) Overpayment Recovery Procedures You can also find information about default fee schedule changes and reasonable and customary charges on this Cigna for Health Care Professionals Website. As private practitioners, our clinical work alone is full-time. Try to avoid companies that require the use of taxonomy codes, license level modifiers, EDI enrollments, and prior authorizations. Medi-Cal Dental Program - Dental Providers - California Mental Health CPT Code List Download Eligibility & Benefits Verification (in 2 business days), EAP / Medicare / Medicaid / TriCare Billing, Month-by-Month Contract: No risk trial period. Free Account Setup - we input your data at signup. In summary, some private insurance companies reimburse mental health therapists for far more than others. National Injectable Imunization Fee Schedule (PDF) Last Updated May 22, 2012. edicaid mental health reimbursement rates differ in that m, Child & Adolescent Psychiatry 2084P0804X, Behavioral Health & Social Service Provider Taxonomy Codes, Addiction (Substance Use Disorder) 101YA0400X, Addiction (Substance Use Disorder) 103TA0400X, Insurance Reimbursement Rates for Psychotherapy, Insurance Reimbursement Rates for Psychiatrists, Beginners Guide To Mental Health Billing, mental health reimbursement rates by CPT code, Why Insurance Companies Dont Release Reimbursement Data, Your Location Impacts Your Mental Health Reimbursement Rate, Insurance Reimbursement Rates for Psychotherapy by State, Psychotherapy Reimbursement Rates for Private Insurance, Your License Impacts Your Insurance Reimbursement Rate for Psychotherapy, Medicaid Mental Health Reimbursement Rates [2023], Medicaid License Practitioner Level Information, Medicaid Mental Health Reimbursement Rates for Individual Therapy [2023], Your Taxonomy Code Impacts Your Insurance Reimbursement, Medicare Reimbursement Rates for Psychotherapy [2023], How to Choose Insurance Companies for Mental Health Credentialing, Medicaids PDF on Mental Health Payment Rates, mental health credentialing services page, behavioral health insurance reimbursement rates, commercial insurance fee schedule for therapists, insurance reimbursement rates for mental health, psychotherapy insurance reimbursement rates, psychotherapy reimbursement rates for private insurance, psychotherapy reimbursement rates private insurance, Inquire about our mental health insurance billing service, offload your mental health insurance billing, SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO COUNTY), OAKLAND-BERKLEY (ALAMEDA AND CONTRA COSTA), SAN FRANCISCO-OAKLAND-HAYWARD (MARIN COUNTY), RIVERSIDE-SAN BERNARDINO-ONTARIO (SAN BERNARDINO AND RIVERSIDE COUNTY), SACRAMENTO-ROSEVILLE-ARDEN-ARCADE (SACRAMENTO, PLACER, YOLO, EL DORADO), LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES COUNTY), SAN LUIS OBISPO-PASO ROBLES-ARROYO GRANDE, HAWAII, GUAM, AMERICAN SAMOA, MARSHALL ISLANDS, PALAU, NORTHERN MARIANA ISLANDS, FEDERATED STATES OF MICRONESIA, PORTLAND (CLACKAMAS, MULTNOMAH AND WASHINGTON), METROPOLITAN ST. LOUIS (JEFFERSON, ST. CHARLES, ST. LOUIS AND ST. LOUIS CITY), METROPOLITAN KANSAS CITY (CLAY, JACKSON AND PLATTE), SUBURBAN CHICAGO (DUPAGE, KANE, LAKE AND WILL), EAST ST. LOUIS (BOND, CALHOUN, CLINTON, JERSEY, MACOUPIN, MADISON, MONROE, MONTGOMERY, RANDOLPH, ST. CLAIR AND WASHINGTON), NEW ORLEANS (JEFFERSON, ORLEANS, PLAQUEMINES AND ST. BERNARD), DETROIT (MACOMB, OAKLAND, WASHTENAW AND WAYNE), FORT LAUDERDALE (BROWARD, COLLIER, INDIAN RIVER, LEE, MARTIN, PALM BEACH, AND ST. LUCIE), ATLANTA (BUTTS, CHEROKEE, CLAYTON, COBB, DEKALB, DOUGLAS, FAYETTE, FORSYTH, FULTON, GWINNETT, NEWTON, ROCKDALE AND WALTON), DC + MD/VA SUBURBS (DISTRICT OF COLUMBIA; ALEXANDRIA CITY, ARLINGTON, FAIRFAX, FAIRFAX CITY, FALLS CHURCH CITY IN VIRGINIA; MONTGOMERY AND PRINCE GEORGE'S IN MARYLAND), NORTHERN NEW JERSEY (BERGEN, ESSEX, HUDSON, HUNTERDON, MIDDLESEX, MORRIS, PASSAIC, SOMERSET, SUSSEX, UNION AND WARREN), METROPOLITAN PHILADELPHIA (BUCKS, CHESTER, DELAWARE, MONTGOMERY AND PHILADELPHIA), NYC SUBURBS/LONG ISLAND (BRONX, KINGS, NASSAU, RICHMOND, ROCKLAND, SUFFOLK AND WESTCHESTER), POUGHKPSIE/N NYC SUBURBS (COLUMBIA, DELAWARE, DUTCHESS, GREENE, ORANGE, PUTNAM, SULLIVAN AND ULSTER), SOUTHERN MAINE (CUMBERLAND AND YORK COUNTY), METROPOLITAN BOSTON (MIDDLESEX, NORFOLK AND SUFFOLK), United Health Care / United Behavioral Health / Optum, LMFT, Licensed Marriage and Family Therapist, LICSW, Licensed Independent Social Workers, MD / PhD, American Board of Psychiatry and Neurology Certified, Psychological Evaluation (Each Additional Hour), Psychological Evaluation (First 30 Minutes), Psychological Evaluation (Each Additional 30 Minutes), Psychological Diagnostic Evaluation with Medication Management, Individual Psychotherapy with Evaluation and Management Services, 30 minutes, Individual Psychotherapy with Evaluation and Management Services, 45 minutes, Individual Psychotherapy with Evaluation and Management Services, 60 minutes, Individual Crisis Psychotherapy initial 60 min, Individual Crisis Psychotherapy initial 60 min, each additional 30 min, Evaluation and Management Services, Outpatient, New Patient, Evaluation and Management Services, Outpatient, Established Patient, Family psychotherapy without patient, 50 minutes, Family psychotherapy with patient, 50 minutes, Assessment of aphasia and cognitive performance, Developmental testing administration by a physician or qualified health care professional, 1st hr, Developmental testing administration by a physician or qualified health care professional, each additional hour, Neurobehavioral status exam performed by a physician or qualified health professional, first hour, Neurobehavioral status exam performed by a physician or qualified health professional, additional hour, Standardized cognitive performance test administered by health care professional, Brief emotional and behavioral assessment, Psychological testing and evaluation by a physician or qualified health care professional, first hour, Psychological testing and evaluation by a physician or qualified health care professional, each additional hour, Neuropsychological testing and evaluation by a physician or qualified health care professional, first hour, Neuropsychological testing and evaluation by a physician or qualified health care professional, each additional hour, Neuropsychological or psychological test administration and scoring by a physician or qualified health care professional, first hour, Neuropsychological or psychological test administration and scoring by a physician or qualified health care professional, each additional hour, Neuropsychological or psychological test administration and scoring by a technician, first hour, Neuropsychological or psychological test administration and scoring by a technician, each additional hour, Psychotherapy with patient for 30 minutes, Psychotherapy and evaluation and management with patient for 30 min, Psychotherapy with patient for 45 minutes, Psychotherapy and evaluation and management with patient for 45 min, Psychotherapy with patient for 60 minutes, Psychotherapy and evaluation and management with patient for 60 min, Mental health crisis, each additional 30 minutes, Family psychotherapy without the patient, 50 min, Family psychotherapy with the patient, 50 min.

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cigna eap provider reimbursement rates

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