FAQ: What Is Your Financial Policy?

We hope that after your first visit you will feel valued and well taken care of.  Physical Therapy is a tool, a pathway to get you to your goals.  Our highly trained staff members at Borja Physical Therapy strive to do their best to make your experience pleasant.  As part of this relationship, we wish to review expectations of your financial responsibility as outlined in our Financial Policy.

Insurance benefits are checked by the Borja Physical Therapy Billing Department as a courtesy to the patient.  Please provide insurance cards prior to your first visit to ensure that claims are submitted promptly.  There are three ways that you can pay for your portion of the bill for services you receive, which include deductibles, copays and coinsurances.

  1. If you would like us to wait for payment until we hear from your insurance company on what your patient responsibility is for each visit, we are happy to do so provided that you place a credit card on file with us for automated payment at the end of each month.
  2. You may also enroll in a payment plan which automatically charges 10% of your estimated total costs at the beginning of each week until the total balance for your entire plan of care is paid in full. Payment plans require a credit card or checking/savings account information to be put on file for direct withdrawals.
  3. If you would prefer to not place a credit card on file, we do require an estimated payment for your visit at the time of service.

In the rare case the insurance denies claims because information needs to be verified by you, the balance will be shifted to you until the issue is resolved with your insurance company.  If you are unwilling to call the insurance company to give that required information, you will be responsible for the entire amount of the bill.

If you have previously received services from the provider (Borja PT) and wish to return to physical therapy and still have a remaining balance on file, you must pay off the remaining balance in full or enter into a payment plan agreement with the provider (Borja PT) in order to begin treatment.   As previously stated, the Borja PT Billing Department may work with you to create a payment plan based on the remaining balance in question.

It is important to understand that the patient is under contract with their own insurance company.  The amount owed to the provider (Borja PT) is 100% determined by the patient’s policy.  The amount owed to the provider (Borja PT) is never determined by Borja PT.  This includes unmet deductibles, copays, or coinsurances.  In general, it is not acceptable for a patient not to pay the amount owed to the provider (Borja PT) because it is a breach of the contract with the patient’s insurance company.  In addition, Borja PT is in contract (in network) with most insurance companies and therefore, where applicable, will write off anything over what is allowable by contract.  Billing is done on a daily basis to all insurance companies.

Please do not ask the billing department to adjust off any charges, deductibles or co-pays over what is allowed by insurance as it is generally not permitted for them to do so.  It is VERY important for the patient to take responsibility in knowing his/her individual benefits and what insurance will allow so unexpected balances do not occur.  The Borja PT Billing Department files with many insurances and most offer several different plans, therefore it is the patient who must make sure the benefits checked are what match their plan.

In the case the patient needs a service that is not covered by the in network agreement, Borja PT will notify the patient to see if the patient agrees to the service.  The billing department will then make arrangements to charge and bill the patient accordingly.

If you do not have In-Network Medical Insurance, please speak with our billing coordinator to discuss self-pay options.  Please note: There is no payment plan option for our self-pay patients.

Third Party/Workers Comp/MVA Patients: We are happy to see personal injury or motor vehicle accident patients.  The billing department will need information such as claim number, adjuster’s name and contact phone number and mailing address.  Should the Third Party/Workers Comp or MVA company deny our claims; the claims will be submitted to your Medical Insurance or become your responsibility.  Please let us know if you have an attorney involved along with his/her name and phone number.

Learn About This Author

Jaime Curl

Leave a Reply