FAQs

Springling Therapy is an Out of Network ABA provider for all insurances. We understand that billing processes and insurance can be confusing or overwhelming. To better serve you, please read through our common insurance and billing FAQ. We are happy to answer any additional questions.

  • Springling concentrates services to the youngest patients, and we prefer to be the “first stop”. We serve patients as young as 12 months but can stay with existing patients until school age. Springling accepts new patients that are 3 or younger at the onset of services with Springling. Patients 4 years and older will be referred to a provider outside of Springling.

  • Early Start Denver Model’s research is focused on children ages 12-48 months. As certified providers of ESDM, we also follow this model. While the techniques may be beneficial to patients of all ages, our specialty, materials, and providers cater to this younger age. Naturalistic developmental behavior interventions are often focused on early childhood which is what we do best. Other forms of ABA, like discrete trial or verbal behavior are available from other providers outside of Springling and are very effective.

  • Yes. Prior to beginning assessment, your insurance will be screened, and you will be updated on an estimate of coverage. All services completed by Springling will be billed directly to insurance the week following services rendered. Once insurance processes the claim, you will be invoiced any patient’s responsibility.

  • Currently, Springling is not in-network with any insurance plans. We do have several patients utilizing in-network waivers or network exemptions. Please discuss these options directly with your insurance carrier.

  • We have billed most major medical plans including BCBS (of Texas and other states), Aetna, Cigna, United Healthcare, UMR, Magellan, and others. We currently are not approved to file claims to Tricare or Medicaid plans.

  • Yes! We want you to feel confident in your understanding of benefits. The important information to know is the diagnosis code for Autism Spectrum Disorder is F84.0 and the ABA codes we use for billing are 97151, 97153, 97155, and 97156.

    If you have additional insurance and claim questions, please reach out to info@springlingtherapy.com. Insurance can be a very confusing aspect of accessing treatment for your child. We are happy to assist you in any way we can!

  • Parent involvement is essential in ESDM programming. Springling requires 1 hour/week of parent training throughout the time they are receiving services. Parent sessions occur at home or clinic and involve your behavior analyst coaching you on ESDM techniques directly with your child. Other caregiver participation is also encouraged.