- Financial/Billing Policy

Financial/Billing Policy

The administrative staff at FYZICAL wants to be sure you have a clear understanding of your/your child's insurance benefits. Therefore, we will verify your benefits before your initial appointment so that you will be aware of your estimated co-pay or coinsurance, any deductibles that may apply, the number of visits allowed on your plan, and whether or not your plan requires referral or authorization from a primary care physician.

While we are happy to provide you with an estimate of your benefits, it is always best for you to verify your insurance benefits by calling your insurance company directly. This ensures that we are both given the same benefit information and allow you to become familiar with your specific insurance plan benefits.

**Please note that estimated coverage information is provided as a courtesy to our patients, but is not intended to release them from total responsibility for their account balance.

We would also like to reiterate that this does not guarantee that your insurance will cover the services you/your child receives at FYZICAL. Your insurance company will determine if these charges will be covered when they receive an insurance claim from FYZICAL, which includes the procedure(s) that took place in our office as well as the applicable diagnosis code(s).

Please be sure to review the Explanation of Benefits form that you receive from your insurance company which will tell you if services are being covered or not.

We bill your insurance carrier solely as a courtesy to you. The following requirements apply:

You are responsible for all copayments, co-insurance payments and/or deductibles according to your individual policy.
Payment is expected at the time services are rendered. We accept cash, checks, credit cards (VISA & Mastercard) and CareCredit.
In the event the responsible party for payment is not present on the date services are rendered, we require either a credit card or debit card to be kept on file. Applicable form is included in the patient registration forms.
As payments are received by us from your insurance company, we will bill you for any outstanding balance. Please make a prompt payment as you receive each bill. A billing fee of $4.00 will be added for every duplicate statement sent for unpaid balances.
If you/your child receives multiple therapy services whether on the same or separate days, for example, both Occupational & Speech-Language Therapy, you will be responsible for payment for both co-payments, deductibles, etc. when/if applicable.
In the event that your insurance carrier requests a refund of payments made, you will be responsible for the amount of money refunded to your insurance company.
If any payment is made by your insurance carrier directly to you for services billed by us, you recognize an obligation to promptly remit same to FYZICAL Therapy & Balance Centers.
If you obtain services in excess of that which is authorized by your insurance plan, you acknowledge you may be responsible for the cost of the professional services rendered.
If you fail to make any of the payments for which you are responsible in a timely manner, you will be responsible for all costs of collecting monies owed.
If you know that paying your balance will be a hardship, please contact our billing office ASAP make payment arrangements. If it becomes evident that no effort is being make towards payment, your bill will be turned over to a collection agency. staff.

Appeals Process

Should you/your child exhaust your insurance benefits or if your insurance company has denied your charges with FYZICAL, your insurance company may request that you go through an Appeals Process. It is the responsibility of the policy holder to initiate this process. We will be happy to help assist by providing you with our standard reports such as evaluations, re-evaluations and progress notes for you to submit to your insurance company. If additional copies or other reports or documents are requested, there will be an additional charge. You will also be responsible for obtaining the requested information, sending it to your insurance company, and following up with them concerning their response to your request.

During this time of appeal, you may choose to continue to receive services at FYZICAL, however you will be responsible to pay in full for any/all services rendered at the time of service. If you choose not to continue services, your appointment slot will not be held while waiting for a response from the insurance company. If you have any questions concerning this information, please feel free to speak to our administrative/billing staff.

Billing Department Contact

Questions!? Our Billing Manager, Jill Shoemaker can be reached at 517-333-8550 or eastlansing.billing@FYZICAL.com.