Access to Coverage provides administrative advocacy and coordination services that assist clients and therapists with insurance processes related to out-of-network mental health care.
Our services focus on documentation preparation, communication coordination, and assistance with coverage consideration requests when permitted under a health plan.
Coverage determinations are made solely by the insurance carrier.
We help organize and manage the administrative steps involved in insurance review processes, reducing confusion for both clients and therapists.
Services may include:
To begin services, clients complete authorization forms allowing Access to Coverage to assist with administrative communication related to insurance review processes.
This may include:
After a carrier review or determination, Access to Coverage may continue providing administrative support when appropriate, including:
$150 non-refundable administrative intake fee required to begin services.
$1,000 one-time administrative advocacy fee charged after administrative services are completed and a written insurance authorization or approval is issued when applicable.
$50 per claim submission when billing services are requested and authorized.
Fees compensate administrative advocacy services only and are not payments to any insurance company.
All fees are disclosed in advance.
No additional services are performed without client authorization.
There are no hidden charges or unexpected billing.
When authorization or a Single Case Agreement already exists, Access to Coverage may act as an authorized billing agent to coordinate claim submissions using therapist-provided billing information.
Therapist authorization required
Claims submitted as billing agent only
Confirmation provided after submission
Payment determinations made solely by the insurance carrier
Access to Coverage provides administrative advocacy and coordination services only.
We are not an insurance company, healthcare provider, or law firm.
We do not make insurance decisions and cannot guarantee approval, reimbursement, or payment outcomes.
Submission does not guarantee insurance approval or reimbursement.
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