- Call the Member Services phone number on the back of your insurance card.
- Ask if you have out-of-network benefits.
- If no, end the call. If yes*, ask the following questions:
A) Do I have coverage for the CPT codes listed below?
B) How many units are permitted for each CPT code?
C) What are the reimbursement rates for each CPT code?
D) Do I need pre-authorization, and if so, how it is obtained?
E) How much is my deductible, have I met the deductible, and when does it renew?
F) How do I submit the claim?
Possible CPT Codes
96116 Neurobehavioral status examination
96118 Neuropsychological testing, by psychologist
96119 Neuropsychological testing, by psychometrist
96120 Neuropsychological testing, by computer
*It is important to understand that the amount ultimately reimbursed by the out-of-network insurance carrier is out of Chesapeake Neuropsychology, LLC’s control. It is the sole responsibility of the patient or patient’s guardian to determine, understand, and confirm their benefits with their insurance carrier.