At Westside Neuropsychology, we are committed to offering high-quality and accessible neuropsychological services. We are in-network with most Michigan-based insurance plans (see below). Your primary care physician (PCP) or other treating professional can fax a completed referral form to our office (see Refer tab). HMO plans often require referrals submitted directly to the insurance company before your appointment. Please contact your insurance to check benefits and coverage ahead of time to avoid unexpected costs.
Accessibility: If your plan is not currently listed and you are unable to find specialists who accept your plan, Dr. Johnson is open to applying for credentialing to become in-network. In those cases, you can elect to delay scheduling the neuropsychological evaluation until credentialing is approved. Please note that the credentialing process typically takes approximately 3-6 months and approval is not guaranteed. Also, some insurance panels may be closed to new providers at the time of application. If you choose, you may schedule services as a self-pay or out-of-network patient while credentialing is in process. However, services will not be billed retroactively to your insurance if credentialing is approved after the evaluation is completed. Payment at the time of service will be the responsibility of the patient/parent. I am happy to discuss options to help you navigate next steps during your consultation.
Out of Network: For patients who are out-of-network or opt for self-pay, you will be provided with a Good Faith Estimate of the cost of your care before your appointment in accordance with the No Surprises Act. Under the No Surprises Act, patients who are uninsured or self-pay are entitled to receive a Good Faith Estimate of expected charges before services are provided. Dr. Johnson can also generate a superbill (a detailed receipt of services) upon request if you wish to independently pursue potential out-of-network reimbursement from your insurance. This does not guarantee reimbursement and direct payment is the responsibility of the patient/parent/guardian.
Children’s Special Healthcare Services (CSHCS): CSHCS does not cover neuropsychological assessments in most cases, with the exception of patients with histories of hemispherectomies and critical congenital heart disease. However, there are special circumstances in which coverage by CSHCS can be considered for other conditions on a case-by-case basis. If you receive CSHCS for other medical interventions, please let us know so we can request to be added as an authorized provider. Please note that our request would need to be reviewed by a CSHCS medical consultant and does not guarantee approval.
Codes Commonly Billed: 96116, 96121, 90791, 96132, 96133, 96136, 96137, 96156
Cancellation and No-Show Policy: Neuropsychological evaluations require a significant amount of preparation, dedicated testing time, and individualized attention. Each evaluation day is reserved specifically for the patient and that time cannot easily be filled on short notice. When an appointment is missed or cancelled without sufficient notice, it limits access for other patients and families who are waiting for services. If your appointment is cancelled with less than 48-hour notice or in the event of a no-show, you may be placed at the end of the scheduling queue. Depending on current demand, this may result in an extended wait time before a new appointment becomes available. Illness, family emergencies, and other unforeseen circumstances will always be approached with understanding and compassion. If an urgent matter arises, please contact our office as soon as possible to discuss next steps.
In-Network Plans
(Michigan Only)
