Payment Options

The Neuropsychological Evaluation is priced at $3500.

ANC is a private practice; we accept private payments only. This includes debit/credit cards (including HSA-associated cards and ESA debit cards), checks, and cash.
We do not work with insurance companies, state insurance programs, or forensic approval systems for payment reimbursement including custodial or legal proceedings from the Department of Child Safety (DCS).
Payment is required in full on the date of the evaluation. While we can provide an invoice or superbill with the procedure and diagnostic codes, it is the patient’s responsibility to seek reimbursement from their insurance provider or relevant systems. We cannot guarantee that reimbursement will be granted, as we are not affiliated with any insurance network.
Please note that any additional documentation requested from our clinicians will be billed at their hourly rates.

Private 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.

We Are ESA Vendors

Payments Using ESA Debit Card

We will provide you with an invoice that complies with ESA program criteria.

Important disclaimer

The ANC does not have access to the ESA application process or any related information, and therefore cannot provide support on how to apply for the ESA or determine eligibility. Each family must contact the Arizona Department of Education (ADE) directly for any questions regarding the application process, eligibility, or fund availability.

However, ANC refers families to a non-profit organization that helps families get started with the ESA process.
Please contact Love Your School at www.loveyourschool.org

– For assistance with the ESA application:

Parents should reach out directly to the Arizona Department of Education at ESA Support or call their customer service for guidance.
Schools may also be able to help with certain steps, but ANC does not assist in this process.

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

https://www.azed.gov/esa

Payment Options via ESA Class Wallet Funds

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. You must submit it to receive reimbursement.

Pro Forma Invoice

What is a proforma invoice?

“A proforma invoice is a preliminary bill or estimated invoice sent to a buyer before goods or services are delivered. It outlines the details of a transaction, including the price, quantity, and terms, giving you a clear overview of the costs before finalizing the transaction. Once approved, it allows us greater flexibility to move your appointment up if an earlier slot becomes available, ensuring you get the service as soon as possible.”

Important Disclaimer:

It is entirely the parent’s or patient’s responsibility to determine eligibility for this type of evaluation.

Arizona Neuropsychology Centers (ANC) cannot access ClassWallet’s system, eligibility requirements, or related information.

This information is provided solely to help parents and patients navigate the process. We are not responsible for any issues related to ClassWallet and cannot assist with ClassWallet-related inquiries. This guide is for reference only.

ClassWallet might update its policies. Parents or patients must contact ClassWallet directly before scheduling an evaluation.

ANC cannot provide guidance on Class Wallet Funded Evaluations.

Patients who have a Universal Account or lack sufficient funds may not be eligible for evaluation payment through ESA.

It is the family’s responsibility to verify if their child’s evaluation is covered through ClassWallet.

ANC Requirements for Class Wallet Funded Evaluations.

Parents must provide the Classwallet “Order ID Number” which you will receive after submitting the proforma invoice to ESA. This number appears on the ClassWallet receipt and must be sent to ANC for appointment confirmation.

How do you get started with the ESA/ESA Class Wallet program?

ANC does not offer direct guidance on using the ESA/Class Wallet system. We recommend contacting the non-profit organization Love Your School for comprehensive information and assistance.

For further details, please visit the link below.

Payment Options

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