Evolve Adolescent Behavioral Health

Post written for Insurance

What are Concurrent Reviews? 

The concurrent review takes place while the patient is receiving care while admitted to a facility. The insurance company authorizes a set amount of days.

What is a COB?  

Coordination of benefits (COB) applies to a person who is covered by more than one health plan. A COB identifies which insurance plan is “primary”

What does Medical Necessity mean? 

Medical necessity refers to a decision by your health plan that the treatment or procedure is necessary to maintain or restore your child’s mental health

What is a Single Case Agreement?  

A Single Case Agreement allows an out-of-network provider to be considered “in-network” for a single patient/client (e.g single case). This means the client/family would only