You’ll find a handy insurance worksheet below that will help you ask the right questions when you talk to your insurance or HR representative:
Get the Most from Your Insurance
Advanced Physical Therapy Specialists doesn’t submit insurance claims for our patients, but we will provide the necessary documents for you to submit a claim to your insurance company for reimbursement.
At the end of each appointment, you will receive a statement/super bill as a receipt of your payment. This will contain all the information needed for you to submit your physical therapy costs to your insurance company for reimbursement. Some insurance companies only require a copy of this statement/super bill while other insurance companies will require you fill out their own form as well as submit a copy of your APTS statement/super bill.
Suggestions for working with your insurance company to claim Physical Therapy benefits:
- Verify your insurance policy’s physical therapy benefits prior to scheduling your first appointment with Advanced Physical Therapy Specialists (click here for our insurance worksheet).
- Submit paperwork to your insurance company as soon as possible following each appointment. Many insurance companies have timely filing periods that range from 60 days to 1 year from the date of service. If your claim isn’t submitted within this period, it will not be processed. An insurance company claims representative or a member of your Human Resources department can explain your insurance company’s specific deadlines.
- Keep copies of all documents you submit to your insurance company. You will need copies with the original date in case you need to resubmit your claim.
- Check the progress of your claim. The state of Colorado requires that claims be paid or denied within 45 days of submittal. If you haven’t heard from your insurance company within 45 days, call them to follow up on your claim.
- If you receive a denial you believe to be incorrect, call your insurance company immediately. Insurance companies often impose a time limit for appealing a denial.
- Include your insurance ID number and group number on your statement/super bill. You may also want to attach a copy of your insurance card with any paperwork you submit to your insurance company to ensure the claims department has all the correct information they need to process your claim.
- Make sure your diagnosis (ICD-9) and procedure (CPT) codes are written on every claim. Your claim won’t be processed without this information.