Out-of-Network Insurance Information for
Pediatric Speech Therapy
Get step-by-step guidance on how to seek reimbursement for speech therapy for kids —
even if you're using an out-of-network provider.
Learn how to contact your insurance, understand your pediatric speech therapy benefits, and file a claim using a superbill.
Dear Parents
Navigating out-of-network insurance for pediatric speech therapy can be confusing — especially when you're trying to get reimbursement for services your child needs.
This guide is here to help you understand your benefits, ask the right questions, and submit claims for speech therapy for kids using a superbill.
1
Contact Your Insurance Provider
Call the Member Services phone number on the back of your insurance card.
Let them know:
“I’d like information about my Speech Therapy benefits with an Out-of-Network provider.”
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Be sure to write down:
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Name of Customer Service Representative
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Date of Call
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Time of Call
2
Have This Information Ready
Your insurance provider may ask for the following details:
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Insured’s Name
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Patient’s Name
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Patient’s Date of Birth
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Insurance Member ID
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Policy/Group Number
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Provider’s Name: Tiny Sprouts Therapy Speech Language Pathology, Inc. - Karla Jimenez, MS, CCC-SLP
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State License Number: 35492
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ASHA Certification Number: 14285346
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NPI Number: Contact me directly.
3
Ask these questions
Ask these questions during your call:
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Do I have coverage for speech therapy for kids with an out-of-network provider?
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Do I need pre-authorization for pediatric speech therapy?
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Can I submit a superbill for reimbursement?
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What is the process for filing a claim after receiving a superbill?
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Are there any additional forms needed?
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Where can I find those forms on your website? Can you email me a copy?
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Can I file my claim online, or must I mail or fax it?
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Is there a deadline for submitting my claim after the date of service?
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How long does it take to process a claim?
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What is the appeals process if my claim is denied?
* Be sure to write down the answers so you have written proof of what they informed you.
Still Have Questions?
Address
3840 Woodruff Avenue,
Suite 210,
Long Beach, CA 90808
Contact
(562) 459-3693
Opening Hours
Mon - Wed
6:30 am – 7:15 pm
Saturday
9:00 am – 1:00 pm