UCare only paying less for treatment

sadie twite 6 years ago in Payments/ERA Modules updated by Richard Sethre, Psy D , L P. 6 years ago 2

We have been noticing that since the beginning of the year we have been getting paid less than half of what our usual contracted rate is for residential substance abuse treatment. Has anyone else been experiencing this? Do you know if there is new contracted rates?

We have not had issues with the amount being paid for substance abuse treatment except for the random claims that are processed wrong on their end.  We call and usually they will reprocess.

Sadie wrote,"

Do you know if there is new contracted rates?"

The current contracted rates must be available to providers via the fee schedule. Unfortunately, insurance companies often do not it easy to find on their website - but you can call provider relations to get help with locating it.  

It is savvy to know the current fees for the services that you commonly provide in order to hold insurance companies accountable - to make sure that you are being paid the contracted rate.