Treatment costs don’t have to be overwhelming. NTS works directly with your insurance carrier to help alleviate the cost of treatment. Whether your loved one is suffering from chemical dependency and/or a psychiatric or mood disorder, we specialize in getting reimbursement from your insurance provider. Not only that, but we do all of the work: Simply present your insurance card and we will aggressively pursue reimbursement.
At NTS, our knowledgeable and dedicated staff knows how to maximize out-of-network insurance benefits. We work with all private PPO insurance companies, including ValueOptions, United Behavioral Health, Cigna, Aetna, Blue Cross Regence, and Premera Blue Cross. We know the ins and outs of the various policies to ensure every available reimbursement dollar is secured for you. If benefits for our services are available on your policy, we find them and get reimbursement.
While other treatment facilities claim that insurance companies won’t cover in-patient treatment, we know how to dig deep to find benefits for facility-based substance abuse treatment. We are fully licensed and accredited so that there is never any question of eligibility. Our onsite insurance coordinator works tirelessly, handling the benefit verification, utilization review/authorization process, and the claim submission for you. We do all of the work for you. This eliminates the stress of insurance billing during an already stressful time.
NTS has had great success in helping clients recover treatment costs through their insurance carriers. Most polices require utilization reviews or updates weekly. During this process, the insurance carrier often attempts to dictate what is appropriate or medically necessary for the client’s treatment. Our staff is dedicated to strong advocacy for all of our clients during these reviews. NTS staff fights for client rights.
The Details on Cost Savings
Generally, the client or guarantor submits the full or agreed upon portion of treatment costs upfront and our insurance department handles all of the billing needs (super bill, coding, etc.) to obtain maximum reimbursement for cost of services. This reimbursement is returned directly to the guarantor up to the total amount originally paid to NTS for services. This way, the NTS clinical team is able to direct a client’s care and make decisions in the best interest of the client, rather than the insurance company. We also find that insurance is more likely to pay a significant percentage toward the actual cost of treatment, because the insurance company’s administrative costs, such as referrals, pre-certifications, gatekeepers, and case management, are deferred to NTS’ insurance billing department.
Research has proven time and again that a person’s best shot at recovery from alcohol and/or drugs is dependent upon clinically necessary treatment. What is “clinically necessary” varies from person to person. Therefore, National Therapeutic Services has found that the best decision makers in this process are experienced and caring treatment-center staff – not some bureaucrat at an insurance company.