Insurance Accepted

Cigna - (North Carolina and Virginia)

BCBS /  Blue Cross Blue Shield 

United Healthcare

For all other insurance carriers, currently, Harper's Hearts does not file insurance. Payment is the responsibility of the parent at the time of therapy. I am happy to provide you and your family with the codes you need for reimbursement from your insurance company. Please check the tips below on filing with your insurance provider. Payment is accepted in Visa, MasterCard, check or cash.   

THERE IS NO GUARANTEE THAT THERAPY WILL BE COVERED BY YOUR INSURANCE COMPANY.

When speaking to insurance representatives, it is a good idea to take detailed notes, getting full names of who you spoke to, dates of conversations, and numbers/extensions to call them back at should you have any problems or additional questions.

You may wish to start a file folder specifically for these issues.

When calling your insurance company to determine if private speech therapy is a covered benefit, they may request some or all of the following information:

• Your name, contract number, and other identifying information.
• Inform them that we are a private clinic. (not a provider* or hospital)
• If your therapist is certified appropriately.

POSSIBLE PROCEDURE CODES (CPT)

• Initial Speech & Language Evaluation: 92523-GN
• Individual Speech Therapy: 92507-GN

Other general questions you may wish to ask:

• Under what circumstances is speech therapy covered?
• What are the restrictions (age, number of visits, percentages, etc.), if any?
• Be sure to ask if children’s developmental issues are a covered benefit. 

Find out how to submit claims on your own behalf, since this is not a service we provide.  Do you need a claim form?  To whom should claims be sent?  What information do you need to include?  How long will it take to get a response?