Financial Policy For Buffalo Rehab Group Physical & Occupational Therapy, PLLC

The information below explains the financial policies of Buffalo Rehab Group Physical and Occupational Therapy, PLLC (the Company)

• • As a service courtesy for you, we check your insurance coverage and benefits for each episode of care. The payers do not guarantee coverage to us when we check benefits and see therapy visits, so please self-verify your individual coverage and understand your insurance policy.

• • Therapy services are billed on per diem or time-based procedure codes. Your therapist will provide care specific to your needs and will choose the appropriate procedure codes based on the procedures performed. Your therapist will be happy to explain the procedure codes if you have any questions.

• • At the time of your first visit, we will provide you with an ESTIMATE of the amount of money that you will need to pay per visit based on the information we have received from your insurance. This estimate does not guarantee payment by your insurance.

• • The amount not covered by insurance will be ESTIMATED and explained to you on your first visit. This amount is payable on the date that services are rendered when you check in.

• • When you have not met your deductible, we will request an ESTIMATED PAYMENT from you that is applied towards your deductible. You will receive a bill for the remainder of the insurance allowable once the claim has been filed.

• • Insurance companies have their own schedule of what they consider to be “usual and customary.”These fees often vary between plans. Our charges are based on the time and the type of procedures used by your therapist for each session. If we are in network with your insurance, you will be responsible for the amount “allowed” by your insurance for each procedure based on your insurance contract. It is impossible for us to know the details of each individual policy.

• • Your insurance is in an agreement between you, your employer, and the Insurance carrier. We encourage you to contact your insurance company to better understand your benefit for therapy services.

• • If you have had recent treatments and/or procedures that should apply to your deductible, it may not have been billed by the hospital or physician’s office yet, and therefore may not be listed when we check your benefits. Please contact your insurance if you feel that your deductible information is incorrect.

• • If you have a co-insurance percentage that you are expected to pay, we will collect an estimated amount on that co-insurance, and you will receive a bill for the difference between what you paid. Co-payments (flat amounts per visit) will be collected after each date of service.

• • Financial Agreement: The undersigned agrees whether he/she signs as an agent or as a patient, that in consideration of services to be rendered to the patient he/she hereby individually obligates himself/herself to pay the account of the Company in accordance with the regular rates and terms of the Company.