Access to Coverage provides administrative advocacy services that help clients request coverage consideration for out-of-network therapy when available under their health plan.
We assist with documentation, communication, and coordination so clients and therapists can navigate complex insurance processes more clearly and efficiently.
Submission does not guarantee approval or reimbursement.
Access to Coverage provides administrative advocacy and billing coordination services only.
We are not an insurance company, healthcare provider, or law firm.
Coverage determinations are made solely by the health insurance plan.
Results and reimbursement are not guaranteed.
How we Help
Many people build strong, meaningful relationships with their therapists.
When a therapist is out-of-network, understanding insurance options can feel overwhelming.
Our role is administrative support — allowing you to focus on care, not paperwork.
For Clients:
If you are seeing an out-of-network therapist, your insurance plan may allow requests for coverage consideration depending on network availability and plan rules.
We do not make coverage decisions — your insurance carrier does.
For Therapists:
Therapists often want to help clients maintain continuity of care but do not have time to manage insurance administration.
Claims are submitted under the therapist’s name using the therapist’s NPI and tax information with authorization.
Access to Coverage acts solely as an authorized billing agent.
Payment determinations are made by the insurance carrier and may be issued to the client or provider depending on plan rules.
Service fees may be paid by either the client or therapist depending on program structure and plan requirements.
Fees
Covers intake review and administrative onboarding.
Charged after administrative advocacy services are completed and coverage authorization is issued when applicable.
Fees compensate administrative services only and are not payments to any insurance company.
Billing Services
Already have authorization or coverage approval?
Access to Coverage can coordinate electronic claim submission as an authorized billing agent to help streamline the administrative process.
Certain Medicare or Medicaid managed plans may have additional restrictions. Service structure may vary based on plan requirements.
Maintain continuity with an existing therapist
Reduce administrative confusion
Receive structured support navigating insurance processes
Organized documentation and communication coordination
Clear administrative guidance throughout submissions
If you prefer, you can fill out the form below, and we’ll get back to you as soon as possible.
Submission does not guarantee approval or reimbursement.
732-475-2111
cs@accesstocoverage.com
Lakewood, New Jersey
Monday – Friday:
9:00 AM – 5:00 PM EST
Access to Coverage provides administrative advocacy and coordination services only. Insurance coverage determinations are made solely by the insurance carrier. Coverage, reimbursement, and payment are not guaranteed.
Access to Coverage is an independent administrative advocacy service and is not affiliated with any insurance carrier. We do not provide medical or legal advice.
732-475-2111
cs@accesstocoverage.com