Insurance Participation Verification
Insurance companies list their preferred providers in a variety of different ways. Unfortunately, we don’t have any control over this process. Depending upon the insurance company, you may find our clinics listed as providers under the following headings:
Company Name: Wellness Define of Mayfield, LTD Clinic Names:
- Core Physical Therapy
At the Core Physical Therapy Group, our front office staff is working as a courtesy to you to determine eligibility & coverage of your insurance(s) for therapy services. However, it should be understood that the rehabilitation benefit(s) given to us by your insurance company, is a quotation of benefits and is not a guarantee of payment by the insurance company.
Today’s complicated reimbursement climate is in a constant state of flux. It is not possible for our clinic to understand the details of each individual’s physical therapy coverage. It is your responsibility to fully understand all the details of your particular plan.
If you have a deductible, then your deductible must be satisfied before the insurance company will pay for treatment. You are responsible and will be billed for any unsatisfied deductible amount. You can obtain this information from your insurance customer service representative. We request payment towards your outstanding deductible at the time of service.
Office co-pays are due at the time of service. The co-pay amount on your insurance card may not be the co-pay amount for physical therapy visits. You can obtain this information from your insurance customer service representative.
Your co-insurance amount is the amount not covered by your insurance plan. You can obtain this information from your insurance customer service representative. The co-insurance amount is the patient responsibility and due at the time of service.
If your insurance policy requires a prescription from your primary care physician (PCP) or non-physician practitioner (NPP), you must obtain a current prescription in order for your plan to pay for physical therapy services. You must have a current prescription for the duration of your physical therapy care.
If your policy requires a referral or pre-authorization on file, you will need to contact your PCP’s referral coordinator and ask that a current copy be sent to both your insurance company and our office.
Be aware that prescriptions, referrals, and pre-authorizations have expiration dates and/or a set visit limit. Check to be sure your paperwork has not expired prior to your first visit. We will assist you in tracking expirations of prescriptions, referrals, or pre-authorizations once you have begun care with us.