General Category > General Questions

LCSW

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PMRNC:
You still have to bill, only diff is you are billing the EAP, they will usually tell you what they want when you verify benefits. Some even will send the auth and directions for billing. They are easy, only important thing to remember is that they are separate benefits and major medical should not be billed until the EAP is exhausted. 

ruthie72:
One more question. What is an OTR?

PMRNC:
OTR is Outpatient Treatment Report   This is the clinical report your LCSW will use to obtain authorizations. Usually carriers will give you the first visit and an auth for a few more before requiring the clinician sending in the OTR. I usually remind my clients when the patient has 2 visits remaining in an authorization series.

ruthie72:
Thank you so much....!!!

QueenAlicia:
Yes, verify the insurance benefits especially for EAP.  Often EAP patients will have their own billing forms. Some will fax them to the provider, others you can get off the website. Be careful with Value Options, the pay the least and are a pain in the ass.

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