Texas Physical Therapy Specialists Billing Procedure

As a courtesy to our patients, Texas Physical Therapy Specialists will file all insurance plans on your behalf. Below is the procedure we follow from the time we get your insurance card until you receive a statement from us. Please note that the faster we receive your insurance information, the quicker we can inform you of your benefits. In some cases, it is necessary for us to ask for your assistance in obtaining information from your insurance carrier.

• Once the intake coordinator receives your insurance information, she will call the insurance company to verify your benefits and will inform you as soon as possible. It is very important that with workers comp or motor vehicle accidents, that we receive a copy of your health insurance card as a back up in case the previous insurance reaches its maximum payment or is denied.
• Insurance claims are filed on a weekly basis. (Usually on Mondays for the previous weeks charges.) If you attend therapy for a period of 3 weeks, you should have 3 claims sent to your insurance carrier.
• Within 4 to 6 weeks, we should receive a remittance advice and payment from your insurance carrier. This tells us how to apply the payments and adjustments to your account. Adjustments result from contracts we have with the insurance companies.
• If you have a secondary insurance, we will then file with that insurance provided we have been given all required information.
• If there is no secondary insurance to file, we will transfer the balance to your responsibility and you will receive a statement sometime during the first week of the month. (Statements are sent out on a monthly basis until the account is paid in full.)
• If you have a co-pay, that amount is due at the time of service. If you have coinsurance (i.e. 20% due from you and 80% due from your insurance), we would like you to make small incremental payments each visit.

If you have any questions regarding this policy, please feel free to ask us at any time.