Home
Forms Library
Optum psychological testing request form

Optum psychological testing request 2025

optum psychological testing request form Preview on Page 1

See details

4 out of 5

22 votes

The document is a Psychological and Neuropsychological Testing Request Form from OptumHealth, a division of United Behavioral Health. It outlines the necessary information required to request psychological testing services for a member, including personal details, testing dates, referring provider information, purpose of testing, diagnostic codes, and required tests. The form emphasizes the need for prior authorization based on the member's insurance policy and provides instructions for submission.

Here's how it works

01. Edit your optum psychological testing request form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out optum psychological testing request with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the Optum Psychological Testing Request in the editor.
Begin by entering the member's name and date of birth in the designated fields. Ensure accuracy as this information is crucial for identification.
Fill in the Enrollee ID number and specify the requested testing dates, including both start and end dates.
Provide details about the psychologist, including their name, degree, type of license, NPI number, phone number, fax number, and address.
Complete the referral section by indicating who referred the member for testing and providing any relevant case background information.
Clearly state the purpose of testing and include any existing DSM or ICD diagnostic codes along with rule-out codes that need evaluation.
List all required tests by spelling out their names and indicating if supplementary subtests are needed. Specify hours requested for psychological and neuropsychological testing.
Indicate whether a feedback session is requested and if testing has already started. Also, note if it is court-ordered.

Start using our platform today to streamline your document editing process for free!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Are psychological assessments covered by insurance?

Medical insurance policies may cover all or part of psychological testing if it can be shown to be medically necessary. This is most commonly true for neuropsychological assessment of a patient who has cognitive problems related to a documented medical condition.

How is psychological testing billed?

- The first hour of psychological evaluation is billed using 96130 and each additional hour needed to complete the service is billed with the add-on code 96131. - CPT Time Rules allow an additional unit of a time-based code to be reported as long as the mid-point of the stated amount of time is passed.

How do I know if my insurance covers a psychologist?

You ask your insurance company. They may have a search function for covered providers through their online portal. Youd then ask them a question on whether your particular policy covers therapy, and if so how much does it cover.

Will insurance pay for psychological testing?

Insurance Coverage and Psychological Testing - Pediatric Psychology Associates. Insurance benefits for psychological testing/evaluations vary depending on insurance plans. Many times the coverage of testing is contingent on the patients diagnosis, which determines medical necessity for the testing procedures.

How do you get psychological testing?

If you are feeling or acting differently than normal and dont know where to begin or who to call, docHub out to your or your GP (general practitioner) to do a basic assessment. Based on their findings, your doctor may refer you to a counselor or psychiatrist for help.

How much does neuropsychological testing cost with insurance?

Another thing to know about your own situation is the deductible and co-pay. For cases under the Medical Benefit, the co-pay may be something like 20 percent. Since a Neuropsychological Evaluation usually costs between $2500-$3500, then the co-pay would be $500 or more. This $500 will be applied towards your co-pay.

Does United Healthcare cover psychological testing?

UHC Health Insurance Coverage for Mental Health Testing This coverage often includes assessments for various disorders, such as anxiety, depression, and ADHD, to help in developing an effective treatment plan.

Optum psychological testing request 2025

Here's how it works

How to use or fill out optum psychological testing request with our platform

Complete this form in 5 minutes or less

Got questions?

Are psychological assessments covered by insurance?

How is psychological testing billed?

How do I know if my insurance covers a psychologist?

Will insurance pay for psychological testing?

How do you get psychological testing?

People also ask

How much does neuropsychological testing cost with insurance?

Does United Healthcare cover psychological testing?

Related links

Try more PDF tools

Optum psychological testing request 2025

Here's how it works

How to use or fill out optum psychological testing request with our platform

Complete this form in 5 minutes or less

Got questions?

Are psychological assessments covered by insurance?

How is psychological testing billed?

How do I know if my insurance covers a psychologist?

Will insurance pay for psychological testing?

How do you get psychological testing?

Related Searches

People also ask

How much does neuropsychological testing cost with insurance?

Does United Healthcare cover psychological testing?

Related links

Try more PDF tools