Insurance & Intake Form

Cascade Neuropsychology is credentialed with Medicare, Blue Cross Blue Shield, and several other insurance plans.

Out-of-Network Services

Although we may be out-of-network with your insurance plan, the reimbursement process is typically a single form submission with your receipt of payment. Most health insurance plans reimburse you within 45 days. Please fill out the intake form to get an estimate of your reimbursement.

Neuropsychological Intake Form

Neuropsychological Testing

Prior Authorization

Some insurance plans require prior authorization for neuropsychological evaluations. Call your insurance company and ask if you need prior authorization.

The CPT codes are:

96132 ( 1 unit )
96133 ( 7 units )
96136 ( 1 unit )
96137 ( 15 units )

Ask your insurance representative to fax it to 360-785-2016 or simply give us the authorization number when it’s convenient for you.