Frequently Asked Questions

A superbill is an itemized receipt of services; it lists the date of service as well as the CPT codes we would bill if we were submitting a claim to your insurance company. If you are paying for sessions out of pocket, we can provide you with a superbill at the end of each month. You can submit the superbill to your insurance company. Some plans reimburse their members for out-of-network costs.

If we have a provider in your area who meets your needs, we will be able to schedule you for an initial appointment within 2 weeks.

Before the first appointment, please complete the intake and consent forms sent to you. You will also be asked to pay a $10 booking fee; this is a one-time fee and allows us to save your credit card information. All three items must be completed at least 48 hours before the session to confirm your appointment. Having the items submitted promptly will allow our providers enough time to review the documents submitted. If you plan on using your insurance to pay for the session, we ask that you submit the items at least 4 days before the session to confirm your appointment.

Your provider will arrive promptly at the time of the scheduled appointment, the session will be 60-75 minutes long. The exact evaluation length depends on the child’s needs, attention span, and the provider’s clinical judgment. Your provider will bring any necessary assessment materials or screeners they need to engage with your child. The provider may use toys, furniture, or items in the home and incorporate them into the assessment. At the end of the assessment, the provider may provide initial observations and impressions. They may discuss some needs, recommend a cadence of sessions, and, if applicable, will schedule the next appointment with you. However, the provider will need time to tally up any standardized assessment scores to comprehensively understand where your child’s needs are. You will receive the completed evaluation report after 2 business days. At the next session, the provider will be able to further explain their findings and structure a collaborative treatment plan with you.

We provide quality clinical care – this means that our approach is relevant, compassionate, and evidence based. Our high standard for care begins with our providers. All Coral Care providers are independently and fully licensed in the State(s) they are serving. Each provider undergoes an interview, an education check, a license check, a comprehensive background check, and a reference check. We ensure that our providers are specialized in pediatric care and approach their work through a neurodiverse affirming and culturally humble lens.

The duration of therapy services for your child is dependent on their needs and the goals for therapy. Treatment length and frequency is discussed with you during the initial visit. Typically, sessions are held on a weekly basis; however, based on clinical need ,we can provide services several times per week, once every two weeks, or even monthly. The duration of each session is 45 minutes.

A pediatric physical therapist helps children improve their range of motion, strength, endurance, flexibility, body awareness, movement patterns and gross motor skills. Gross motor skills include things like sitting upright, standing, crawling, walking, running, or jumping.

A pediatric occupational therapist helps children perform daily activities and function to the best of their ability safely and independently. OTs can help children with fine motor skills, social skills, sensory processing, picky eating, emotional regulation, social emotional learning, using adaptive equipment, life skills and activities of daily living. Daily activities include dressing, grooming, feeding, and playing with peers.

Both physical and occupational therapy are important and beneficial to a child experiencing physical, developmental, cognitive, or neurological delays or conditions. The skills taught and tools used often overlap; however, occupational therapy tends to focus on refined skills while physical therapy addresses the big picture skills a child needs to thrive.

A pediatric speech therapist, also known as a speech language pathologist (SLP), can help children communicate freely and clearly whether it be with their voice, their body, or an Augmentative and Alternative Communication (AAC) device. SLPs may work on a child’s articulation, fluency, voice, language, or social communication skills.

Your child’s HIPAA compliant digital folder will be shared with you after your first completed session with Coral Care. You will be able to access your child’s clinical notes within this folder at any time. Clinical notes are made available to you within this folder within 48 hours of each therapy session.

Progress may look differently for every child. Your provider will establish specific, measurable, achievable, relevant, and time bound goals with you in the beginning of your therapy relationship. As treatment continues, the therapist will communicate verbally and within their clinical notes the progress made toward the established goals. They may use standardized assessment scales and tools to quantify and track improvements. Your provider will re-evaluate the goals throughout treatment; this way you and the provider can establish new goals together as your child’s needs evolve and change.

If you choose to use your insurance coverage to pay for the services; your child must have a completed evaluation for each discipline (Occupational Therapy, Physical Therapy, Speech Therapy) they are enrolled in with Coral Care to be eligible for insurance coverage for the sessions. Past evaluations from school, clinics, or other practices are not transferable when using insurance. If you are paying out of pocket, we encourage you to schedule an evaluation with us to ensure that we have a reliable baseline of your child’s needs and can develop clear goals and plan for treatment with your provider. However, we will accept evaluations completed within the year from other locations. If the evaluation provided does not assess your child’s needs for the goals you would like your child to achieve, we will request for an evaluation to be completed within Coral Care prior to treatment.

In the in-home setting, therapists can demonstrate how families can leverage their home environment to aid the child's development. Unlike clinics, homes may lack specific tools, making it challenging to transfer acquired skills. Therapists can also tailor sensory diets more effectively by understanding the child's home space and routine, utilizing these familiar settings for emotional regulation. This facilitates easy replication of learned skills after the therapist leaves. Additionally, the convenience of in-home therapy eliminates the need for travel, traffic hassles, and the challenge of transitioning the child to a different space. Many children also find the in-home setting more comfortable without the distractions of other children present in a clinic.

As a group, we are enrolled with the commercial plans within Blue Cross Blue Shield of Massachusetts, Harvard Pilgrim, Mass General Brigham, and Cigna. However, each of our providers need to be enrolled into the plan(s) as well for the services provided to be considered in-network. Some of our providers are enrolled with BCBS, Harvard Pilgrim, MGB, and Cigna but many are still in the process. We will be sure to let you know if there are in-network providers in your area. We are working incredibly hard to credential all of our providers. Many of our families start services as self-pay and we transition them to insurance pay once their provider is enrolled in-network.

Our services are available wherever our providers are located. We have providers throughout Massachusetts, Texas, and Southern New Hampshire. Once you fill out the patient interest form, we will be able to match you with a provider in your area. If we are unable to find a provider match for you, we will work quickly and diligently to obtain one that fits your needs and will contact you once we do.

Our team conducts eligibility checks on your behalf before your first appointment. We'll verify your coverage and let you know exactly what you'll owe so there are no surprises.

Sessions can be weekly or bi-weekly, depending on your child's needs and your schedule. We'll work with you to find a consistent time that works best for your family.

We provide monthly superbills that you can submit to your insurance company. Many insurance plans offer out-of-network benefits that can help reduce your out-of-pocket expenses. Contact your insurance provider to understand your specific out-of-network coverage.

We accept HSA and FSA payments for all services. For self-pay options, evaluations are $250, and regular sessions are $125. We aim to make payment as convenient as possible for our families.