Insurance authorization works the same way for all treatment centers and for all insurance companies. The insurance company will start the authorization on the day we ask for it.
The insurance company typically authorizes 7 days at a time. We have seen them authorize less and more, but 7 is average. At the end of the 7 days, the insurance company and the Utilization Review Specialist exchange clinical information (that comes directly from the therapist) as to why the client needs to be in treatment longer. At that time, the insurance makes a decision whether to authorize more time or not. These are called “concurrent reviews”. Families may get an Explanation of Benefits in the mail and get worried when they see they have only been authorized a certain number of days. This is normal and they will always be updated on the authorization of days by their child’s therapist.