Need Help?
It is our genuine pleasure to assist our blessed families in navigating the insurance maze. We understand and appreciate the difficulties you
experience in gaining and maintaining the therapies and schedules involved in dealing with your child.
To begin, you will find this process easier if you have completed the Blessed With Autism Workbook. There are many steps you may follow at
home to save you time and money. To make the work we will embark upon both simple and less time consuming for both our families and the
assistant, we ask that you follow these steps.
1. Complete the intake sheet provided on the website. Print a copy.
2. Copy both the front and back of your insurance card. If you have two insurance carriers, copy both. To call the insurance carrier, we need to
provide the name of the subscriber and the date of birth of the subscriber on each insurance plan.
3. Write the date of birth for the child and the subscriber on the insurance card copy sheet.
4. Print from your insurance website a copy of a blank claim insurance submittal form.
5. Complete the form in full and sign – one for each child we will be assisting you in claims submittal. Sign but do not date.
6. Organize all of your claims invoices by provider – then date – attach the EOB for each invoice if you have already submitted and the claim has
been denied – to the invoice for our review.
7. Get copies of all evaluations you have had done for your child and copies of all letters of medical necessity from your pediatrician, therapist, or
neurologist, etc.
8. If you have your Summary Plan Description, please copy it an include it. If you do not have it, request it from your employer. This may be needed
at some time. It is not necessary to have this initially.
9. A check for the initial evaluation/review/assessment for $350.00 made payable to Yvonne Mc Namee. This will cover the first 4 hours work.
Additional blocks of time, if needed are billed at $75/hr by invoice per agreement with you in advance.
If you have signed into your insurance carrier’s website, we may ask you to share the username and password for the site so we can more easily
follow up on your behalf. If you have not, please register for this service.
Once you have assembled the above, please copy all and add the following:
Your name and email address, home address, contact phone number for daytime and evening.
A check for the initial intake and review for $350.00. No work will be initiated until all information and payment are received. We do not cash your
check until we begin your work. If you are placed on our waiting list, you will be notified you are wait-listed and notified when we begin your files. At
that time we will send you a HIPAA release which will protect your information. This will need to be signed and returned to us in original form for
our files.
MAIL TO: Y. MCNAMEE
P.O. BOX 3065
WAYNE, NJ 07470-3065
All information must be sent by U.S. Mail.
Please note: The services we provided are not a guarantee of insurance coverage or reimbursement. Your policy is a contract for health coverage
between yourself, your carrier and your employer. We make every effort to research your policy and coverage information as it applies to your
specific situation. All services are based on our personal experience and outcomes. We take no responsibility for misinformation provided to our
representatives by your insurance carrier.
Please understand, in our quest to provide valuable service to everyone, we may need time to complete our work. We ask your patience. To our
experience, it may take several communications with insurance carriers with long waiting times before we can resolve specific issues or obtain
complete information.
We look forward to adding another wonderful family to our blessed family.
Yvonne
Email: blessedassist@verizon.net
Intake Form