Overview
If you believe your insurance eligibility status or estimated cost per session is incorrect, you can request a review directly in your Alma Client Portal.
This self-service option lets you submit updated information so Alma can recheck your benefits without you needing to contact support or your provider.
When Can I Re-Check My Eligibility?
You can request a review if:
- Your most recent eligibility check is marked Eligible or Ineligible
- The eligibility check was completed more than 2 weeks ago
- The check is not already under review
If Alma is already reviewing your coverage, you will see a message indicating that a re-check is in progress.
How to Submit a Re-check?
If you believe your eligibility status or cost estimate is incorrect:
- Go to the Insurance and Claims section in your Client Portal
- Select the option that says you believe the eligibility result or cost estimate is incorrect
- Provide additional details, such as:
- What you believe your cost per session should be
- Whether your cost is a flat copay or coinsurance percentage
- Where you received this information
- from your insurance company or Explanation of Benefits
- If you spoke with your insurance company, include a call reference number.
Once submitted, Alma will create a review request and our team will re-check your benefits.
What Happens After I Submit a Re-check?
- Alma will review your insurance coverage using the updated information you provided.
- While your dispute is being reviewed, you will see a message in your portal indicating that your insurance is under review.
- You cannot submit another dispute while one is already in progress.
Once the review is complete:
- Your portal will display the updated eligibility result.
- The status will indicate that it reflects a re-check.
Can I Continue Care While My Eligibility Is Being Reviewed?
Yes. This process is designed to help you move forward with care while your eligibility is being reviewed.
Keep in mind that your final financial responsibility will ultimately depend on your insurance company’s Explanation of Benefits (EOB).
Important to Know
- Submitting a dispute does not guarantee a change in your cost estimate.
- Final payment responsibility is determined by your Insurance company after claims are processed.
- If you are unsure about your benefits, you can contact your insurance company directly for confirmation.
If you have any additional questions about your insurance coverage, contact us by selecting the Help button at the bottom-right of the page.