Requirements Vary
Payers may differ in diagnostic documentation, referral requirements, medical-necessity criteria, authorization periods, treatment-plan elements, network rules, and continuation-of-care requirements.
Commonly Requested Information
- Patient demographics and insurance information
- Autism diagnostic documentation
- Signed referral/order when required
- Clinical assessment and treatment plan
- Measurable goals and medical-necessity rationale
- Progress documentation for continued authorization
Our Role
The Dailey Institute verifies benefits, identifies known payer requirements, submits authorization requests within our scope, and communicates with families about next steps.
Provider Role
When documentation is requested from the referring clinician, timely submission can reduce avoidable delays.
Important Note
Benefit verification does not guarantee payment or authorization.
Next Step
Use the current ABA Referral Checklist for the exact items requested by The Dailey Institute.