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Healthcare Providers

Mental healthcare providers are trained to focus on their patients. Instead, they routinely spend valuable time responding to intrusive insurer reviews or fighting for prompt, equitable reimbursement.

Our services are designed specifically with the needs of mental health practitioners and facilities in mind. We offer consultation for dealing with medical necessity reviews and network-inadequacy barriers.

How we can assist

  • Challenging access impediments due to network inadequacy
  • Analyzing and responding to insurer challenges of mental health treatment on medical necessity grounds
  • Addressing reimbursement challenges
  • Determining the applicability of federal and state mental health parity protections
  • Preparing persuasive appeals to health insurers on behalf of patients pursuing coverage for mental health treatment
  • Seeking independent medical reviews of insurer treatment denials
  • Petitioning state and federal regulatory bodies that oversee patient access to mental health care

By combining our extensive knowledge of mental health care with that of litigation and appeals, Psych-Appeal offers unparalleled expertise to clinicians in all areas of mental health or substance disorder treatment.