A patient advocate helps families navigate insurance systems, prior authorizations, denials, care coordination, and communication between providers, schools, and insurers. We work to ensure your child’s medically necessary services are properly documented, submitted, and supported.

No. While we use clinical criteria, policy alignment, and strategic documentation to strengthen your case, insurance companies make the final determination. Our fees reflect the time, expertise, and advocacy work provided—not the outcome.

Common services include: • ABA Therapy • Occupational Therapy (OT) • Speech Therapy • Physical Therapy (PT) • Behavioral Health Services • Diagnostic evaluations

If you’re unsure, the Initial Case Review & Strategy Session is the best starting point. During this session, we evaluate your situation and recommend next steps tailored to your child’s needs.

• Review of your insurance benefits • Review of diagnoses and provider recommendations • Identification of denial risks or approval gaps • A customized advocacy strategy You will leave with a clear action plan.

We offer structured, level-based appeal support: • Internal Appeals • Peer-to-Peer / Medical Review preparation • External / Independent Medical Review We analyze the denial reason and build a medically aligned response.

Timelines vary by insurance carrier and service type. Most authorizations take 2–4 weeks. Appeals may take 30–60+ days depending on the review level.

Yes. With your written consent, we coordinate with therapists, physicians, and other providers to gather documentation and align submissions with insurer criteria.

We offer non-legal IEP/504 collaboration support. This may include: • Reviewing documents • Preparing talking points • Parent coaching • Participating virtually (if agreed upon in advance) We are not attorneys and do not provide legal representation.

The monthly retainer is designed for families with ongoing or complex needs. It includes: • Multiple authorizations • Re-authorizations • Appeal management • Ongoing care coordination • Priority response time This is ideal for families managing several therapies or transitions.

Yes. Limited sliding-scale slots may be available based on income and family size. Payment plans can be discussed during your consultation.

• Payment is due upfront or at the start of service. • Retainers are billed monthly. • Fees cover time, expertise, and advocacy services—not insurance outcomes.

Fees are for professional services rendered. Partial refunds may be considered only if services have not yet been performed.

Absolutely. All client information is handled with strict confidentiality. Signed consent forms are required before any communication with providers or insurers.

Book an Initial Case Review & Strategy Session, and we will begin with a comprehensive evaluation of your child’s current needs and insurance status.