Insurance Information and Patient Forms

Insurance Verification and Pre-Authorization (please submit at least 48 hours prior to your first appointment)

Pinnacle Behavioral Health is dedicated to minimizing the time patients spend verifying their insurance benefits, submitting reimbursement claims, and managing compensation mistakes when they occur. As a result, Pinnacle Behavioral Health will manage these responsibilities regardless if a patient is considered in-network or out-of-network.

 

Pinnacle Behavioral Health’s network of in-network insurance companies include: Aetna, Anthem, BC/BS National Network, Cigna, United Behavioral Health.  We also accept payment directly from most insurance companies for out of network benefits.

 

Not all providers are contracted with each company.  Therefore, to ensure accurate coverage details, it is recommended prior to your first appointment, you click on the insurance verification link and complete the form to allow Pinnacle Behavioral Health to contact your insurance carrier.

 

In-network vs. out-of-network providers:

·        An in-network provider has a contract with the insurance company where they accept a discounted fee for their services. Often times, there is a deductible to be met and then the individual patient will have a co-pay for each visit.

·        An out of network clinician does not have a contract with the insurance company and bases their fee on their level of education, experience, and expertise. As a result, there is a deductible that has to be met and then the individual will have co-pay for the remainder of the fee which the insurance company does not reimburse. This usually results in a payment from $30 to $55.