Autism Services. Applied behavioral analysis Preauthorization may be required for services received from a non-network provider. $15 Not Covered Physical/Occupational/Speech Therapy Services - Autism Diagnosis - Outpatient Hospital $15 Not Covered Physical/Occupational/Speech Therapy Services - Autism Diagnosis - In a provider's office $15 Not Covered
Appears in 4 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. $15 20 Not Covered Physical/Occupational/Speech Therapy Services - Autism Diagnosis - Outpatient Hospital $15 20 Not Covered Physical/Occupational/Speech Therapy Services - Autism Diagnosis - In a provider's office $15 20 Not Covered
Appears in 2 contracts
Samples: Subscriber Agreement, Subscriber Agreement
