Fees & Insurance Information

NECCA

Understanding our payment policies & how to access out-of-network benefits.

Evaluation Fees

Child psychology, little boy making tower with blocks, academic intervention, Wayne, PA

NECCA Payment Policy

NECCA is out-of-network for all health insurance plans and requires full payment on the day of your appointment.

This allows us to provide you with high-quality personalized care. There are no “hidden fees” with full explanation of all fees prior to the beginning of services.

Payment Due - Date Of Service

Payment is due on the date of service via check or credit/debit card.

Credit Card Processing Fee

There is a $100 processing fee for credit/debit card.

Out-Of-Network Reimbursement

We provide a “superbill” which is the document required by insurance companies for out-of-network reimbursement to you.

Cancellation Policy

We understand that schedules change and you may need to reschedule or cancel your appointment.

Please reach out to information@drkarenkelly.com or call 484-557-5666 as soon as possible to let us know if you need to reschedule or cancel.

Cancellations that occur 2 business days or less prior to the scheduled appointment, and appointment no-shows will be subject to a cancellation fee of 50% of the evaluation fee.

How To Learn More About Your Out-Of-Network Insurance Benefits

Current Procedural Terminology (CPT) codes are numeric codes and descriptive terms that identify medical services and procedures. Physicians and other health care professionals use CPT codes to bill for services.

Instructions:

Call the Member Services phone number on the back of your insurance card. Ask if you have out-of-network benefits. If so, ask the following:

Do I have coverage for the CPT codes listed below?
How many units are permitted for each CPT code?
What are the reimbursement rates for each CPT code?
Do I need pre-authorization, and if so, how it is obtained?
How much is my deductible, have I met the deductible, and when does it renew?
How do I submit the claim?

Possible CPT Codes

90791 (60-minute intake appointment)

96132, 96133 (Neuropsychological Evaluation Services)

96136, 96137 (Neuropsychological Testing by neuropsychologist)

*It is important to understand that the amount ultimately reimbursed by the out-of-network insurance carrier is based on your insurance company and not within any control of NECCA. It is the sole responsibility of the client or their parent to determine, understand, and confirm their benefits with their insurance carrier.

Evaluation Fees

What is included in the range of comprehensive evaluation services we offer.

What to Expect

(Common to All Evaluations)

Record Review: We review all relevant records prior to the evaluation.
Developmental History: Gathering information about developmental history from parents or caregivers is crucial.
Parent/Teacher Feedback: We utilize rating scales to gather valuable input from parents and teachers.
Report Provided: A comprehensive written report detailing the findings of the evaluation is provided for all evaluation types.