Our practice is currently working on becoming in-network with medical insurance providers. Although we are not in-network with insurance companies, many insurance plans offer partial coverage for families who work with out-of-network specialists. We are happy to provide you with an insurance reimbursement claim or “superbill” and other documentation necessary for you to receive out-of-network benefits from your insurance provider. If you are not sure whether you have out-of-network benefits for specialty services, please contact your insurance provider directly. We do not administer the processing of insurance claims.
Your child’s primary care doctor or other referring physician may also be able to answer some of these questions. If your insurance company does not have out-of-network benefits for the services provided, you are responsible for the full amount due.
All payments are required at the time of service. We accept credit card, cash, or check.
For children under the age of three, resources may be available through referrals from the Regional Center. Uplift Therapy Center is an approved vendor with the Frank D. Lanterman Regional Center (FDLRC) and East Los Angeles Regional Center (ELARC) to provide occupational, speech, feeding and physical therapy services for Early Intervention.
The Frank D. Lanterman Regional Center (FDLRC) serves residents in the following areas: Glendale, Burbank, Pasadena, La Crescenta, La Cañada, Central Los Angeles, Hollywood-Wilshire.
The East Los Angeles Regional Center (ELARC) serves residents in the following areas: Alhambra, Arcadia*, Boyle Heights*, City Terrace, Commerce, East Los Angeles, East Pasadena*, El Sereno, Eagle Rock/Highland Park*, La Habra Heights*, La Mirada, Lincoln Heights, Montebello, Monterey Park, Mount Washington*, Pico Rivera, Rosemead, San Gabriel, San Marino, South Pasadena, Santa Fe Springs, Temple City*, and Whittier.
Qualifying infants and toddlers under the age of three can access our services through FDLRC or ELARC. The Regional Center can often connect families to financial resources to fund these services.
To find out more, visit their websites listed below:
FDLRC: Lanterman.org
ELARC: Elarc.org
For children over three years old, ask your local Regional Center about Self Determination Program.
A superbill, also known as a Statement for Insurance Reimbursement, is a document that we can give you, after you have paid your bill, in order to be reimbursed by insurance payers. This document is like a statement, but it provides additional information such as CPT codes and primary diagnosis codes.
A network gap exception (also called Single Case Agreements and Network Deficiency Coverage) is a tool health insurance companies use to compensate for gaps in their networks of contracted healthcare providers.
Things to know:
What Families Need for An Exception Request
Network Gap exceptions – what to do if a family’s request is denied
A Single Case Agreement (SCA) is a contract between an insurance company and an out-of-network provider for a specific patient, so that the patient can see that provider using their in-network benefits (i.e., the patient will only have to pay their routine in-network co-pays for sessions after meeting their in-network
According to IRS Pub 502, Physical, Occupational and Speech therapy services are eligible for reimbursement from flexible spending accounts (FSA), health savings accounts (HSA), health reimbursement accounts (HRA), dependent care flexible spending accounts (DCFSA) and limited care flexible spending accounts (LCFSA).
Most of the time families will know in advance that they will need therapy, so contributions can be made in advance. We can guide families on how much therapy we anticipate the child needing in the coming year. This information is good to have in November when many families are making decisions about contributions to make into a plan in the coming year.
There are some FSA plans and HSAs that allow payment to be processed like a credit card, while others require that a person submit a paid bill for reimbursement.
Uplift Therapy Center provides pediatric therapy services. Our licensed and compassionate team members are here to support families and children of all ages.
If you are not sure whether your child may benefit from our services, call us to schedule a free consultation. We are happy to answer any questions you may have.
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