ICAN charges a materials fee for all initial and re-evaluations. This charge cannot be billed to insurance.

Evaluation materials charges cover the standardized tools, scoring systems, and clinical resources required to complete a comprehensive and medically appropriate evaluation. They are separate from provider time.

This includes but is not limited to:

• Standardized test protocols and booklets required to administer standardized and norm-referenced assessments.

• Digital scoring platforms and software. These platforms ensure accuracy and compliance with testing standards.

• Test kits and manipulatives such as visual supports, stimulus cards, or toys.

• Scoring and data analysis tools.

• Clinical interpretation resources.

• Treatment planning materials to translate evaluation findings into individualized treatment plans.

Recurring service charges reflect the full scope of care required to provide consistent, high-quality therapy.

While families see the direct therapy time, each session also includes planning, documentation, coordination, and clinical oversight that support meaningful progress.

Therapy is delivered based on medical necessity and best practice standards, regardless of how insurance ultimately reimburses services.

Recurring service charges may include:

• Direct therapy time. One-on-one treatment focused on your child’s individualized goals.

• Planning and preparation. Reviewing progress, preparing materials, and adjusting interventions as needed.

• Clinical documentation. Required treatment notes, data tracking, and progress updates.

• Care coordination. Communication with parents and other providers when clinically appropriate.

• Treatment plan updates. Ongoing review and adjustment of goals to support progress.

• Supervision and clinical consultation. Licensed oversight, case review, and provider collaboration to ensure safe, effective, and coordinated care.

• Materials and therapeutic resources. Use of therapy tools, equipment, software, and structured activities.

• Administrative and compliance support. Authorization management, scheduling coordination, and documentation required to meet medical and regulatory standards.

​The short answer is: we do bill your insurance just like has always been done.  The challenge is that your insurance only pays for certain things directly related to your main concern in a visit and the conventional standard of care solutions that your concern entails.  The premiums, co-pays, co-insurance and deductibles you pay per your contract with insurance companies covers a visit with your doctor, but does not cover the scope of what your provider does to provide you with great care.

Any additional fees cover the care in that visit that insurance doesn’t pay for. This may include treatment planning, parent meetings, collaboration across disciplines, attending IEP meetings, clinic materials, standardized assessment protocols, etc.

This model allows our providers to use best practice and still make ends meet in a healthcare system driven by insurance companies who try, through their policies, to devalue the expertise and care we provide.

Insurance companies create a confusing healthcare environment for patients, clinics, and providers alike. We do our best to provide accuracy in our billing practices, but sometimes insurance processes claims in an unexpected way.

At present, ICAN is navigating a disappointing and frustrating transition to an outsourced billing service. ICAN’s leadership team’s only priority right now is to correct and prevent billing errors and improve transparency for our families.

Our outsourced billing department is Raintree Account Specialists. You may reach them at 425-340-3974

Our CEO, Dan, is directly working with Raintree to improve your experience.

We aim to make sure that your overall ICAN experience is as excellent as your experience with your providers.

Our COO, Nicole, and Clinic Directors, Janna and Gail, are actively working to improve your experience with billing. We serve many families and are working as fast as possible to answer your questions.

We do our best to contact your insurance company to get an accurate information. Sometimes how your insurance processes the claim is a surprise to us as well, and completely out of our control. This is just as frustrating for us as it is for you.

If you experience this, we recommend you reach out directly to your insurance provider. They are more likely to respond positively to their subscriber.

Insurance is confusing! Every insurance policy is different, but here are the basics.

Your insurance may have a deductible. This is an amount of money that you must pay before your insurance provides coverage. Until your deductible is met for the year, you are responsible for the charged amount. Deductibles reset at the beginning of the year, or when you initiate a new insurance policy.

If your plan has a deductible, you may also see the term co-insurance. Co-insurance is the percentage of healthcare costs you pay after your deductible is met. Your co-insurance percentage is determined by your individual insurance policy.

Your insurance may have a co-pay. Co-pays are a set patient responsibility amount, determined by your insurance company.

If your plan has an out of pocket maximum, this is the total amount of money you will pay during the course of your insurance policy. Deductibles, co-pays, and co-insurance may contribute to this amount. Once this amount is met, services are at no cost to you for the remainder of the policy.