Insurance Reimbursement

Insurance Reimbursement

Skills on the Hill is a provider with Tricare, HSCSN, and Medstar (DC Early Intervention only) insurance plans. If you have private insurance, and it’s a PPO type plan, then we can assist you in obtaining coverage for our services as an out of network provider. Prior to beginning treatment or an evaluation with us, it is your responsibility to contact your insurance carrier to verify coverage for an “out of network pediatric occupational therapy provider” and specific deductible requirements for your plan. Most PPO plans will cover a percentage of out of newtwork services. Very occasionally, an HMO plan might agree to cover a percentage of out of network services if there is no provider located in close proximity to the patients home. Skills on the Hill can provide you with possible diagnostic and procedural codes that will be used on invoices which you can review in advance with the insurance plan. Skills on the Hill will provide you with a letter of medical necessity, if needed, as well as an occupational therapy treatment plan (goals and objectives of therapy) which will be requested by your insurance. Please note that some insurance plans require specific pre-authorization forms be completed and/or special claim forms to be filled out and submitted. Skills on the Hill can help you fill out these forms correctly with required information if needed.