Answer:
We receive referrals from patients or referring sources looking to utilize their EAP.
EAP is an Employee Assistance Program. Read more about EAP here.
It is a benefit the patient receives with no-copay or patient responsibility. The CPT code billed is 99404, and the insurance pays the provider in-full directly. EAP sessions are granted to the eligible patient once a year per diagnosis code.
More EAP sessions can always be requested by the provider or patient, once the current authorization has been utilized. As long as the provider is in-network with the patient’s insurance carrier, the provider can accept EAP.