Autism Services. Applied behavioral analysis Preauthorization may be required for services received from a non-network provider. 0% - After deductible 40% - After deductible Physical/Occupational/Speech Therapy Services - Autism Diagnosis - Outpatient Hospital 0% - After deductible 40% - After deductible Physical/Occupational/Speech Therapy Services - Autism Diagnosis - In a provider's office 0% - After deductible 40% - After deductible
Appears in 29 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Autism Services. Applied behavioral analysis Preauthorization may be required for services received from a non-network provider. 0% - After deductible 40% - After deductible Not Covered Physical/Occupational/Speech Therapy Services - Autism Diagnosis - Outpatient Hospital 0% - After deductible 40% - After deductible Not Covered Physical/Occupational/Speech Therapy Services - Autism Diagnosis - In a provider's office 0% - After deductible 40% - After deductibleNot Covered
Appears in 20 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Autism Services. Applied behavioral analysis Preauthorization may be required for services received from a non-network provider. 0% - After deductible 4020% - After deductible Physical/Occupational/Speech Therapy Services - Autism Diagnosis - Outpatient Hospital 0% - After deductible 4020% - After deductible Physical/Occupational/Speech Therapy Services - Autism Diagnosis - In a provider's office 0% - After deductible 4020% - After deductible
Appears in 12 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Autism Services. Applied behavioral analysis Preauthorization may be required for services received from a non-network provider. 010% - After deductible 40% - After deductible Not Covered Physical/Occupational/Speech Therapy Services - Autism Diagnosis - Outpatient Hospital 010% - After deductible 40% - After deductible Not Covered Physical/Occupational/Speech Therapy Services - Autism Diagnosis - In a provider's office 010% - After deductible 40% - After deductibleNot Covered
Appears in 10 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Autism Services. Applied behavioral analysis Preauthorization may be required for services received from a non-network provider. 020% - After deductible 40% - After deductible Not Covered Physical/Occupational/Speech Therapy Services - Autism Diagnosis - Outpatient Hospital 020% - After deductible 40% - After deductible Not Covered Physical/Occupational/Speech Therapy Services - Autism Diagnosis - In a provider's office 020% - After deductible 40% - After deductibleNot Covered
Appears in 3 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Autism Services. Applied behavioral analysis - Preauthorization may be required for services received from a non-network provider. 0% - After deductible 4020% - After deductible Physical/Occupational/Speech Therapy Services - Autism Diagnosis - Outpatient Hospital 0% - After deductible 4020% - After deductible Physical/Occupational/Speech Therapy Services - Autism Diagnosis - In a provider's office 0% - After deductible 4020% - After deductible
Appears in 3 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Autism Services. Applied behavioral analysis - *Preauthorization may be required for services received from a non-network provider. 0% - After deductible 4020% - After deductible Physical/Occupational/Speech Therapy Services - Autism Diagnosis - Outpatient Hospital 0% - After deductible 4020% - After deductible Physical/Occupational/Speech Therapy Services - Autism Diagnosis - In a provider's office 0% - After deductible 4020% - After deductible
Appears in 2 contracts
Samples: Subscriber Agreement, Subscriber Agreement
Autism Services. Applied behavioral analysis - *Preauthorization may be required for services received from a non-network provider. 0% - After deductible 4020% - After deductible Physical/Occupational/Speech Therapy Services - Autism Diagnosis - Outpatient Hospital 0% - After deductible 4020% - After deductible Physical/Occupational/Speech Therapy Services - Autism Diagnosis - In a provider's office 0% - After deductible 4020% - After deductible
Appears in 2 contracts
Samples: Subscriber Agreement, Subscriber Agreement
Autism Services. Applied behavioral analysis - *Preauthorization may be required for services received from a receivedfroma non-network provider. 0% - After deductible 4020% - After deductible Physical/Occupational/Speech Therapy Services - Autism Diagnosis - Outpatient Hospital 0% - After deductible 4020% - After deductible Physical/Occupational/Speech Therapy Services - Autism Diagnosis - In a provider's office 0% - After deductible 4020% - After deductible
Appears in 1 contract
Samples: Subscriber Agreement
Autism Services. Applied behavioral analysis - *Preauthorization may be required for services received from a receivedfroma non-network provider. 0% - After deductible 4020% - After deductible Physical/Occupational/Speech Therapy Services - Autism Diagnosis - Outpatient Hospital 0% - After deductible 4020% - After deductible Physical/Occupational/Speech Therapy Services - Autism Diagnosis - In a provider's office 0% - After deductible 4020% - After deductible
Appears in 1 contract
Samples: Subscriber Agreement
Autism Services. Applied behavioral analysis Preauthorization may be required for services received from a non-network provider. 020% - After deductible 40% - After deductible Physical/Occupational/Speech Therapy Services - Autism Diagnosis - Outpatient Hospital 020% - After deductible 40% - After deductible Physical/Occupational/Speech Therapy Services - Autism Diagnosis - In a provider's office 020% - After deductible 40% - After deductible
Appears in 1 contract
Samples: Subscriber Agreement