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The filing of insurance claims can seem like an overwhelming process. The following documents may be of some assistance.
- Resolving claims disputes
A consumer guide to handling claims disputes
The HMO appeals process
Tips to writing winning appeals
National Associations:
American Association on Mental Retardation/ Publications Center
Health Care Financial for Severe Developmental Disabilities
444 N. Capitol Street, N.W., Suite 846
Washington, D.C. 20036
Phone: 202-387-1968 and 1-800-424-3699
Fax: 202-775-0436
Association of Maternal and Child Health Programs (AMCHP)
1350 Connecticut Avenue NW, Suite 803
Washington, D.C. 20036
Phone: 202-775-0436
National Association of Insurance Commissioners
444 National Capitol Street, N.W., Suite 309
Washington, D.C. 20001
Phone: 202-624-7790
ASA Health Insurance Search – Other State agencies that answer questions regarding insurance coverage issues:
Beckett, Julie. Health Care Financing: A Guide for Families.
Iowa City, IA: National Maternal and Child Health Resource Center.
This overview of the health care financing system includes advocacy strategies for families, and information about public health insurance in the U.S.
University of Iowa, Iowa City, IA 52242 Phone: 319-335-9073.
Neville, Kathy. Strategic Insurance Negotiation: An Introduction to Basic Skills for Families and Community Mental Health Workers.
Boston, MA: Federal for Children with Special Needs.
Single copies of this pamphlet are available at no cost.
CAPP/NPRC Project, 95 Berkeley Street, Suite 104, Boston, MA 02116.
Oreck, Stephen. How to Get the Most Money Out of Your Health Insurance (pamphlet).
Redmond, WA: Medic Publishing Co., P.O. Box 89, Redmond, WA 98073 Phone: 206-881-2883
Supportive Information
From Autism Speaks - Arguments In Support of Private Insurance Coverage
of Autism Related Services
From Talk About Curing Autism - Health Insurance Reimbursement Tips & Tricks
A Note About Insurance Coverage for Applied Behavior Analysis (ABA) in Tennessee:
Many insurance companies consider ABA to be "play therapy" and thus do not cover ABA. It is important to check your health insurance plan to know exactly what treatments and therapies are covered. Since ABA is prelimarily used for autism, it is not usually listed as a service recognized by most insurance companies. Read The Autism Equity Act to understand what the law mandates in Tennessee.
Frequently Asked Questions:
What is Supplemental Security Income (SSI) and does my child qualify?
What is Tennessee Cover Kids and does my child qualify?
What is Family Medical Leave Act (FMLA) and do I qualify?
What is Families First and does my family qualify?
YAHOO GROUPS - Insurance
Autism Insurance Information
ASD Insurance
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