Billing > Billing

Massage Therapy Billing

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QueenAlicia:
If the therapists is out of network will the insurance company pay more?

DMK:
If the patient has out-of-network benefits they should.  Then it would be based on U&C, or a $ limit, or a fixed percentage, that will be outlined in their benefits.  OON also means you can bill the patient the difference, and they have to pay it.  Really important that they realize they can't just write off the patient's portion.  The patient has a contract with their insurance company agreeing to pay their portion. No out of pocket is NOT legal.

QueenAlicia:
Thanks DMK!

The meeting went very well.  I am submitting a proposal to them and they are waiting to sign the contract.

They are a mobile massage therapists group and they weren't aware of the per unit way of billing.

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