Most visits begin with clearing the blockage and running a camera from the basement cleanout toward the tank. The plumber should locate the problem from above ground, tell you how far from the foundation it sits, and say whether it's the pipe, the tank inlet, or something farther along the system.
Repairing or replacing the building sewer is plumbing work, and Hanover issues plumbing permits through Building and Inspectional Services and its OpenGov portal. Work on the tank, distribution box, or leach field falls under the Board of Health and the state's Title 5 rules, so ask whether your job crosses that line.
On wooded or landscaped lots, ask whether a trenchless method could spare trees, walkways, or a driveway, and what restoration the estimate includes.