Billing Insurance? What you need to know, what WE need to know

Billing Insurance What You Need to Know

You may already know we accept patients who are billing a workers compensation claim or a personal injury insurance claim. What you may not know is how this process works, and what we need from you to make sure the billing process goes smoothly.

(Please note that we cannot bill major medical insurance for your sessions! If you wish to submit your receipts for reimbursement, we’d be happy to supply one for you, but let us know ahead of time.)

Before you can book your appointment with us, there are some things we need from you, and some things you should know.

Tell us!
Before you book your appointment, please tell us that you’re billing worker’s compensation or an insurance claim. These sesssions have a higher price (to cover our costs in going through the billing process), and so our records stay current. If your session is scheduled as a regular session, you’ll be responsible for the charges! Don’t do that. Keep us in the loop from the beginning. If you’re booking online, just be sure to select “Medical Massage” from the menu.

Get us all your forms
Every client has to do the basic intake form, but if you want your insurance claim to cover your sessions, we’ll need a bit more than that.

Referral
This is like a prescription for massage. If you’ve seen a doctor for your injury, and they’ve referred you to us for massage, you should have a document from them that includes the doctor’s name and billing codes for your diagnosis. A referral IS NOT your medical history, your medical records, or just the name of your doctor.

Records Release
Laws have been established to protect your medical information, so we may need your signature on this form to get the information we need to charge the right parties for your sessions. This one’s the quickest and easiest. All we need is the date and your signature. It’s only a precaution, but at least it doesn’t take much of your time.

L&I/PIP Disclosure
This is one of the most important forms we need you to fill out. No line of this form can be left blank if you want insurance to cover your sessions! No insurance agent or contact info? How are we supposed to bill them if we can’t even find out where to send it? No policy number or date of injury? How are we supposed to specify on the bill what we’re charging for? It may be annoying to track this information down, but just understand that it’s necessary if you want to avoid paying for your sessions.

I know I’m in for my neck, but why can’t you rub my feet while you’re at it?
If you’re billing insurance, they will only pay for treatment of the areas specified by your doctor. If our records show that anything else was done, there’s a risk they won’t pay for the session. Which means you would.

We’re happy to be a part of your recovery, and appreciate your efforts to help the whole process go more smoothly.

If you have any questions about this process, don’t hesitate to give us a call.

425-243-7705

Or email us at billing@goodliferenton.com

Tom Gunn is the billing coordinator, marketing director, and blog editor for The Good Life Massage. You can hire him to grow your social media presence by contacting him at tomgunn@gmail.com

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