Insurance

Creative Rehab billing practices are based on the belief that access to quality physical therapy should not be limited by participation in managed care plans. Therefore, we are able to accept most PPO, POS, Worker's Compensation, Personal Injury and fee for service plans as an out of network provider. In order to avoid penalizing the patient, we accept insurance assignment on an out of network basis, and generally waive the penalizing out of network deductible and co-payment. We do expect the patient to pay for any in-network deductible and therapy per visit co-payment if applicable. In some instances the out of network deductible is too great to waive. In this situation, the patient is informed and options are discussed related to a modified billing arrangement or referral to another clinic with the physician preference identified.

Example:

In-network benefits 90%

$10 Co-pay for therapy

$100 deductible

Out-of-network 70%

 

$400 deductible

In this scenario the patient is responsible for the $10 per visit co-pay and the $100 deductible. We do not collect the 30% or additional $300 deductible.

•  This allows us to treat a wider range of patients many of whom have received therapy in an in-network clinic without full resolution of their presenting problem.

•  We are an in-network provider for Blue Cross Blue Shield.

•  We are currently not Medicare certified and cannot accept Medicare Patients on a private payment basis.

•  We actively pre-certify each patient and inform them of their benefits prior to the start of care. Our goal is to avoid any unexpected surprises from our billing to the patient.

•  We directly bill the insurance for the patient and work diligently to receive payment for services avoiding patient invoicing when ever possible.

Referrals may be faxed to 847-599-9124 or 847-362-2230 and phoned to 847-599-9171 or 847-362-9171