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Payment Options

Private Pay

Payment Information
The full evaluation fee is due on the day of the appointment. Payees are responsible for settling the balance at that time. While we do not accept insurance or offer payment plans, we accept all major credit cards, cash, and checks. A Super Bill will be provided for you to submit to your insurance company for potential partial reimbursement.

Empowerment Scholarship Account (ESA)

We Are ESA Vendors

Payments Using ESA Debit Card
We will provide you with an invoice that complies with ESA program criteria.

Important Note
The ANC does not have access to the ESA system and, therefore, cannot estimate reimbursement times, pending payments, balances, eligible categories, or account and patient profile information. For any inquiries, please contact the ESA department for further assistance.

For more information on ESA, please refer to the link below.

https://www.azed.gov/esa

ESA Class Wallet Funds

Payment Options via ESA Class Wallet Funds

The ANC offers two payment options using ESA Class Wallet Funds:

  • Private Payment

The evaluation fee is due in full on the day of the appointment.
We will provide you with an invoice that meets the ESA Class Wallet requirements, which you must submit to receive reimbursement.

  • Pro Forma Invoice Instructions
  1. Complete the Form: Start by filling out the form on the “Schedule Now” page.
  2. Receive the Invoice: After submission, you will receive a pro forma invoice based on the Class Wallet criteria, along with the credentials of your selected practitioner and an estimated evaluation date.
  3. Submit the Invoice: Upload the invoice to the Class Wallet website using the provided instructions.
  4. Provide Order ID: Reply to the ANC email with the Order ID number so we can link the payment to the patient’s name.
  5. Complete Scheduling: Once the payment is linked, the scheduling process via Class Wallet funds will be complete.

 

For more details on how to submit the invoice, please refer to the link below.

Please Note:
ANC professionals cannot access individual ESA accounts. Therefore, we cannot provide families with information regarding their reimbursement timeframes, pending payments for services, ESA account balances, the ability to use ESA funds for an evaluation, or account and patient profile information.
Have more information by acessing the link below.
 
 

How to get started with the ESA/ESA Class Wallet program.

The ANC does not offer direct guidance on how to begin with the ESA/Class Wallet system. For comprehensive information and assistance, we recommend contacting the non-profit organization Love Your School.

For further details, please visit the link below.

 
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