Single Case Agreements

In the instance that you or your client want to obtain a single case agreement, here's what you should know.

Updated over a week ago

What it Means

A single case agreement is a contract between yourself and the insurance company that you are not in-network with which will allow your client to receive care they might not otherwise be able to receive in-network. It can also be used for continuity of care if the client requires extended long-term therapy or treatment.

What it Covers

The agreement will outline the authorization number, how many visits will be covered, and at what rate you will be reimbursed for your services.

How to Obtain One

In order to initiate a single case agreement, the client or yourself will need to contact the insurance company directly to see what options are available. Depending on the availability of in-network providers in your area for the service you are providing, insurance companies may be more or less willing to offer single case agreements. Typically, the client or their family will need to make the actual request themselves.

Payments

It's important to note that with single case agreements, payment is directed to the provider. Please email [email protected] if you would like to avoid this by having us submit claims under our billing information instead.

Related questions: What is a single case agreement? Do I need a single case agreement for my client? How to get a single case agreement?

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