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Anthem Lumenos plans

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wharta:
One of my practices is an ABA that works with children that have autism. These children have individual policies through Lumenos which is specifically for mental health. There may be a possibility that one of our pts might get diagnosed with a seizure disorder. His mom and the provider were curious if his individual policy might drop him if he was to receive a second diagnosis?

medauthor:
I believe his seizure disorder would be considered 'medical' and would be billed to his 'medical' plan by his pediatrician or neurologist, no? 

wharta:
Thats what I was thinking. That it would be a diagnosis for the primary care doctor, not her as she is the specialist only treating the disorder. Is that right?

medauthor:
That is what I believe....As the biller of the ABA Therapist, you will not be billing for services related to his seizure disorder---so i don't believe this would affect you in any way.

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