Insurance

Important Info for Those Seeking Out-of-Network Insurance Reimbursement 

1. Request for Insurance Claim Forms
   

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3. Guide for Determining Benefits
   

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5. Overview of Steps for Submitting Claims
   

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7. Definitions & Tidbits on Insurance
   

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9. Policies & Guidelines
   

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Carruth Center is a fee-for-service clinic. All treatment is out-of-network.

Insurance Forms

Template for Reimbursement for Group Speech Therapy-

for school services, Social Lights, and LDC.

Template for Individual Speech Therapy

for the services rendered at Carruth on an individual basis.

Template Reimbursement of Consults for TPS Admissions

Template for Reimbursement-

is a “blanket” form which can be used as needed for clinical services at Carruth.  Please reference your HCFA form to determine appropriate codes.

BCBS Form (TX)

UHC Appeals Form

Please check with your individual provider for the most recently updated insurance application.