Although your insurance company may be listed, there are times when your behavioral health coverage is under a different insurer. If this happen, then your coverage will be out-of-network. Out-of- network means that’s A New Approach, LLC does not have a contract with that company and you may be responsible for a higher deductible, copay, or coinsurance. With your understanding that you may have a higher out-of-pocket expense with using your out-of-network benefits, then we will bill your insurance company as a courtesy. It is also important to know that traditional Medicaid does not cover outpatient mental health services for anyone under the age of eighteen (18). We use every effort to verify this information monthly, but there may be instances when this information will change. If this situation occurs, and your Managed Care (UnitedHealth Care Community Plan or Health Options) does not pay, the total amount of the service will be your responsibility. 

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Billing Codes

The billing code that we submit to your insurance company will be for the actual service provided. Unfortunately, we are unable to change that service code in an attempt to receive payment from the insurance company, therefore; any service not covered by your insurance will be your responsibility. 

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"Look Back Period"

​At times, insurance companies may audit claims that they have paid. They have up to two years from the date of service, the payment of the claim, the receipt date of the claim, or the receipt of the appeal. This process is known as the "look back period" and is common among all of the insurance companies. If the insurance company determines that they have paid for a claim in error, then they will reverse their payment. This means that the insurance company will contact A New Approach, LLC to issue them a refund. If that is to happen, then we will then contact you for payment for that service.