Yellowbrick encourages all patients, families and/or guarantors to directly contact their insurance company to learn about specific benefit coverage and criteria for medical necessity prior to initiating an assessment or treatment.
Insurance companies determine eligibility for assessment and treatment based on medical necessity. It is imperative that the patient, family, and/or guarantor, are aware of the criteria applied by your insurance plan. Establishing medical necessity is a prerequisite for accessing your benefits and authorization of your assessment and/or treatment. Even under stress or time constraints it is extremely important to make yourself aware of benefit limitations and any other requirements your insurance company may have.
You may consider requesting that your referring clinician attempt preauthorization prior to your admission. You will receive a monthly invoice for services from Yellowbrick. There are administrative fees for subsequent requests for additional invoices and for copies of medical records.
If your insurance company denies care, Yellowbrick’s staff psychiatrist will participate in one expedited physician peer review. If your insurance company denies authorization of care after the physician peer review, we will, upon your request, continue to support you through further appeals by sending your completed medical record for a standard appeal after discharge. For results of appeals and status updates, we encourage you to contact your insurance company directly. We are not notified of post-discharge appeal results nor do we track or follow the post-discharge appeals process. It is the responsibility of the patient, family and/or guarantor to pursue any subsequent appeals options offered by your insurance company once we have submitted your entire medical record for a standard appeal following discharge.
Finally, based on past experience, it is common for authorization and claims reimbursement from insurance companies to be a lengthy process. We are happy to provide the clinical information and documentation required by your insurance company as outlined above. Yellowbrick requires payment in full at the initiation of the assessment or admission into any of Yellowbrick’s programs.
Yellowbrick recognizes the financial strains associated with parents’ support of their emerging adult’s treatment. We encourage parents to discuss their individual circumstances and available options with Sonia McKrell, Director of Business Serices.
FAMILIES SHOULD EXPECT TO PAY THE ENTIRE BILL ON A PRIVATE PAY (CASH) BASIS (Fees for treatment at Yellowbrick fall into four separate categories)