Personal Injury- Billing Services and Policies

BILLING POLICIES FOR MEDICAL MASSAGE (Auto Accident and Workers' Compensation)

• We must have a current prescription for Massage Therapy (not PhysicalTherapy) on file. We’re happy to bill your insurance provider for the number ofmassages and/or the time frame specified in your prescription. Please let usknow you’ll need medical insurance billing when scheduling your firstappointment. Be sure to contact your insurance provider to verify your benefits. 

• Medical massage is billed for up to one hour per visit. You’re welcome to schedule a longer session, but any time over one hour is your responsibility and payment is due at the time of service.

• We are unable to bill secondary or third-party insurance.

• You are responsible for deductibles, co-insurance, or co-pays at the time ofservice. Insurance-covered medical massage is billed at a higher hourly rate and includes additional costs for heat and ice treatments.

• All medical insurance clients must sign a billing policy form at the time of service.

• Your insurance policy is a contract between you and your provider. You are ultimately responsible for full payment of services, regardless of how much your insurance pays.

• As a courtesy, we will file insurance claims on your behalf. You are responsible for any unpaid balance due to deductible limits, co-pays, or anyother reason. These amounts must be paid at the time of service.

• Please plan to arrive 15 minutes early to your first appointment to complete necessary insurance billing paperwork.

• We are unable to bill insurance for missed appointments. A 24-hour notice is required for cancellations or rescheduling. Missed appointments will be billed directly to the client at 50% of the originally scheduled service

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MORE INFORMATION ON INSURANCE-COVERED MEDICAL MASSAGE

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Car Accident Claims – Personal Injury Protection (PIP)

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If you own a car and have car insurance, you may have Personal Injury  Protection coverage, also known as “PIP” coverage (unless you waived  this provision on your policy).

If you have an accident, and you have PIP, normally your auto  insurance company will cover your medical needs whether it is your fault or not. For Limestone Therapeutic Massage to bill your Auto PIP claim we will need a prescription from your  primary care physician stating diagnosis and length of time required for  treatment. If your doctor is unsure how long it will take, a good  measure is to request 2xw/4weeks or 8 massages and reevaluate. We will also need the date the accident happened, and the name and telephone number of the adjuster from your personal car insurance company.

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If the accident was the fault of the other car, the other driver’s insurance is called “third party coverage.” We do not bill the other  driver’s insurance for third-party coverage. We will only bill your own insurance. Please call your car insurance company and ask if they will  cover your expenses under your PIP coverage and mediate with the other insurance company for you. In that case, we will bill your auto insurance for your payments. If your insurance company will not do this for you, you can still receive massage by paying when you are in the office for your treatment and seek reimbursement from the other driver’s insurance company when you settle with them.

 

Workers' Compensation Claims

If you are injured on the job, you are entitled to medical coverage  from your employer. You must first fill out forms at work, go to a  doctor to get treatment, get a claim number, and get a prescription from your  primary care physician stating diagnosis and length of time required for  treatment. If your doctor is unsure how long it will take, a good  measure is to request 2xw/4weeks or 8 massages and reevaluate.

We are happy to write reports to keep your doctor informed of your  progress and communicate with your claims adjuster to authorize further  treatment.

 

Health Insurance

Limestone Therapeutic Massage does not bill to health insurance for payment of services. We do accept FLEX SPENDING cards. Please check with your individual insurance company whether massage is an approved treatment. A patient/client will typically need a referral for a physician showing medical necessity when using a flex spending card or requesting reimbursement.

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