XXX LLC
EIN# XXX
XXX
XXX
NPI#XXX
XXX
XXX
XXX
XXX
XXX
XXXX
XXX
XXX
RE: REQUEST FOR SINGLE CASE AGREEMENT
To Whom it may Concern:
Dear [Name of Insurance Company],
I hope this letter finds you well. I am writing to make a heartfelt request for a Single Case Agreement (SCA) on behalf of [Name of Patient], a valued member of your insurance plan. [Name of Patient] is a child with autism who is currently receiving ABA therapy from our company. While we are not currently in-network with your insurance company, we firmly believe that granting an SCA is essential to ensure that [Name of Patient] can continue to receive the vital care he or she needs.
As professionals in the field, we understand that SCAs serve the purpose of allowing patients to access care from out-of-network providers when there are no in-network options available to provide the same level of specialized treatment. Unfortunately, in this case, there are no in-network providers who offer ABA therapy specifically tailored for children with autism. Moreover, we happen to be the closest provider to [Name of Patient], and we take pride in being able to offer in-home therapy, which is widely recognized as the most effective and preferred method of care for children with autism.
We are aware that your insurance company has specific criteria for granting SCAs, and we want to assure you that [Name of Patient] meets all of the necessary requirements. Firstly, [Name of Patient] has a well-documented diagnosis of autism, emphasizing the urgency of continued care. Secondly, [Name of Patient] is already benefiting from the ABA therapy provided by our experienced team. Thirdly, despite our extensive search, we have been unable to identify any in-network providers offering ABA therapy for children with autism in the area. Lastly, considering our proximity and ability to provide in-home therapy, it is evident that we are best positioned to meet [Name of Patient]’s needs effectively.
Our primary objective is to ensure that [Name of Patient] can seamlessly continue receiving the crucial care that he or she requires. ABA therapy plays an instrumental role in the treatment of children with autism, and it is vital that there are no interruptions in their therapy sessions. With utmost confidence, we assure you that our company is fully capable of delivering the highest standard of care that [Name of Patient] needs. We are genuinely committed to working collaboratively with you to ensure that [Name of Patient] can access the necessary care without any hindrances.
We kindly request that you consider and approve our request for an SCA within the next five (5) business days. We are readily available to discuss the specific terms of the SCA at your convenience. Your prompt attention to this matter would be greatly appreciated.
Thank you for your time and thoughtful consideration.
Warm regards,
_________________
XXX BCBA, LBA
XXX
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