The following forms are necessary for your appointment. Please download them and complete them prior to your appointment.
Download full Insurance Verification form HERE
Download Massage Record of Progress form HERE
Download Treatment Massage Intake form HERE
Download Detailed Physician’s Referral Massage Therapy form HERE *this is necessary to have prior to your appointment if you have been referred*
As you may know (or if you don’t), Insurance is getting harder and harder to work with, building up rules and stipulations, making it nearly impossible to bill insurance and get paid. I will do my best to communicate any changes as they happen. I need your help to be proactive, and I need your ownership for appointments not paid by your insurance. Please.
What to expect over the next few months:
When you select Insurance billing under the appointments option, there will be an updated insurance billing description stating:
CANNOT BILL INSURANCE WITHOUT A REFERRAL/PRESCRIPTION plus PRE-AUTHORIZATION. It is YOUR responsibility to report your benefits PRIOR to appointment. BY BOOKING THIS APPOINTMENT, YOU AGREE TO FORFEIT ALL INSURANCE AGREEMENT BILLING RIGHTS AND TAKE FULL RESPONSIBILITY FOR ALL BILLING BALANCE’S NOT PAID BY INSURANCE PLUS $20 PROCESSING FEE. Forms above for insurance billing. *24 Hr Cancellation Policy Enforced and payment is responsibility of patient
Please Click Here to read the full new insurance procedure if this applies to you. You are still welcome to use the alternative Flexible Spending or Health Savings cards.
This is a lot to read but I do want to keep you informed. We will do everything we can to keep this from impacting your experience and treatment. Thanks for being patient.