insurance denials

Finding Addiction Treatment Billing Contact Information for Blue Cross Blue Shield Association Corporation

Every state has a different BCBSA company with different addiction treatment billing contact information. To make matters even more confusing, some states have more than one BCBSA company operating within their borders!

Everything You Ever Wanted to Know About Aetna Precertification for Addiction Treatment Billing

When it comes to addiction treatment, Aetna uses the terms precertification and preauthorization interchangeably. Aetna may also refer to this concept as Authorization, Certification, Prior authorization, or Pre-service utilization review .

What Anthem Inc's Level of Care Denial Rates Mean for Your Addiction Treatment Center's Billing Department

Who is Anthem, Inc? What are their average denial rates and how do they compare to the industry average? What levels of care are most likely to be denied by Anthem, Inc? What can your addiction treatment center do to fight back against behavioral health care denials from Anthem, Inc?

How to Quickly Appeal a Centene Corporation Health Addiction Treatment Claim Denial Using the Expedited Appeal Line

Understanding how to request an expedited appeal from big addiction treatment insurance providers - like Centene Corporation - is a key component to advocating for SUD patients.


How to Determine the Medical Necessity of Addiction Treatment Services for UnitedHealth Group, Inc

Got questions about working with addiction treatment and UnitedHealth Group Inc when determining the medical necessity (or if treatment is medically necessary)? Here’s how it works.

Here’s How to Fix Your Substance Abuse Billing Issues

Step #1: Realize that substance abuse billing is rigged against addiction treatment providers.

VOB Delays = Addiction Treatment Admissions Killer. Turbocharge Your Insurance Verifications with eVOBs

Learn about instant VOBs — also known as eVOBs — and how they could be a game changer for your addiction treatment center.


Get Paid: The Right Way to Shave Down Net Days in A/R at Your Addiction Treatment Center

Your addiction treatment center is only as healthy as its revenue cycle management. At the heart of the revenue cycle is the “Net Days in Accounts Receivable” performance indicator, which—in an ideal world—should be no more than 30 days. The faster you get paid, the easier it is to support a strong cash flow and avoid racking up bad debt.

How to Get the Top 10 Insurance Companies to Cover Care for Your Patients

Working with the top insurance providers in the country is an important part of running an addiction treatment business. Each company handles their billing differently. 

Slowly building relationships with employees at each company over time is the “gold standard” approach for managing tricky claims and other sticky billing issues with the top 10 insurance companies for addiction treatment. 

What You Need to Know About ICD-10 Codes for Addiction Treatment Billing

Getting patients sober is a challenging job. Billing for that job is sometimes even harder. Sometimes it feels like the system is designed to be confusing. There are so many codes and one simple error can completely throw off an entire revenue cycle. Understanding how the different types of codes interact with one another is critical to billing success. 

The 5 Big KPIs You Need to be Tracking For Addiction Treatment Billing

Being able to “take the temperature” of your revenue cycle is an important piece of running an efficient addiction treatment billing program. Key Performance Indicators (KPIs) help you track how your organization is doing from month-to-month, quarter-to-quarter, or year-to-year.

How Verification of Benefits (VOBs) Can Make or Break Your Addiction Treatment Center

“Playing nice” with insurance companies is one of your most important jobs as an addiction treatment provider. Organizations that master the art of interacting with insurance providers reap major rewards in terms of happy patients, strong revenue cycles, confident clinicians, and flawless documentation. Organizations that struggle with “insurance speak” grapple with angry patients, poor cash flow, unmet patient responsibility payments, and wary clinical staff.