Insurance Claims (Primary and Secondary Insurance Only): are filed directly with the insurance carrier(s) as a courtesy to our patients. Our office will assist you by verifying your eligibility for medical benefits with your insurance(s) and following prior authorization or approval requirements to the best of our abilities. Our office will NOT be responsible for incorrect information passed on to us by the insurance company. You are responsible for all out-of-pocket expenses (co-insurance, copays, and/or deductibles at the time of service.

Deductibles: If you owe towards your deductible, we will collect $150.00 at each visit as a deposit toward your deductible owed until the full amount has been collected.

Co-Pays: In order to remain in good standing with our contracted insurances, we are required to collect your co-pay amount at each visit.

Co-Insurance (percentage based): We will estimate/collect any co-percentage due based upon an average of $150.00 per visit. This will be a DEPOSIT toward your out-of-pocket costs per visit. If this estimate is not enough, you will be billed for any remaining out-of-pocket expenses. If this estimate ends up being too much, you will be refunded any overpayments when your account is paid in full by your insurance company.

Private Pay: If you have no insurance coverage, or we are unable to verify medical benefits, payment in full is due at the time of service. We will collect $100.00 for the initial evaluation and then $100.00 per visit for all additional visits.

Medicaid/Centennial Plan: Our office will normally assist you by verifying your eligibility for Medicaid/Centennial Plan benefits and requesting prior authorization/permission from the appropriate Centennial Plan carrier/ACES Medicaid. If payment denies for reasons of expired eligibility, payment in full will be due immediately. A current Medicaid card and appropriate prior authorization/referral from your primary care physician is due at your appointment time. If you change Centennial Plan carriers or your eligibility for Medicaid, it is your responsibility to notify our office. Failure to do so may result in prior authorization errors and denial of payment. Failure to provide our office with updated information may result in you being financially responsible for any balance on your account.

3rd Party Claims: Our office will normally assist you by verifying your eligibility for medical benefits with a 3rd party insurance as a result of an accident. Our office will NOT be responsible for incorrect information passed on to us by the insurance company. Insurance claims are filed directly with the insurance carrier as a courtesy to our patients. If the 3rd party company denies your claim, you will be responsible for the entire balance of your account. If we are unable to make arrangements to bill a 3rd party directly, you will be expected to pay for services in full at each visit and file for reimbursement from the 3rd party yourself.

Litigated: We do not accept “letters of protection”. If your injury claim is being handled by an attorney, payment in full is due at the time of service. We will collect $100.00 per visit as a deposit toward your account. You are responsible for the balance of your account should our estimation be inaccurate.

Workers’ Comp: Verification of your work-related injury will be obtained by our office prior to your appointment. Claims are filed directly with your employer’s insurance carrier. If the worker’s compensation denies your claim, you will be responsible for the balance of your account.

Financial Policy: As a service to our patients – If it is a hardship for you to pay your full out-of-pocket expense at each visit, we will accept a minimum of ½ of the estimated out-of-pocket expenses at each appointment. Your remaining balance will be billed to you upon completion of all therapy with 60 days to pay the entire account in full.

Financial Assistance: As a service to our patients in financial distress – we will work with you to determine if you qualify for reduction in financial obligation. Please ask our office for a Financial Assistance Application packet and once you return the filled out packet along with the requests documents, a determination will be made on if/how much assistance.