Every patient signs our Financial Agreement when booking an appointment with Elevated Bodyworks, which is:

Verification of benefits does not guarantee payment. Financial responsibility may ultimately fall to you!

Read our financial agreement below.

1. Patient's are responsible for the fees associated with their appointments.

2. All co-pays, deductibles, and balances are the responsibility of the patient and are considered due upon receipt.

3. If your insurance company denies payment, you may be responsible for the full cost of your service(s).

Verification of benefits is not a guarantee of coverage. While we do our best to get accurate information from insurance companies, we cannot be held liable for the information given to us. While we work to facilitate this process, ultimately, it is the responsibility of the patient to understand their policy and their benefits. Please call your insurer or consult your plan booklet for more on the details of your benefits.

4. Any balances due to Elevated Bodyworks after your insurance carrier has notified the clinic of payment or non-payment will be billed to you. Past due accounts are subject to collection procedures.

5. If you need to make payment arrangements, you can do so by contacting our billing team at EMBS. We reserve the right to agree, or not agree to payment plans, as they are not a guaranteed service of our clinic.

If you would like to pay your bill or have questions on a statement you received, please contact our billing team, EMBS, directly:

P: (503) 384-2988

F: (503) 416-6474

admin@efficientmbs.com

www.efficientmbs.com

It depends. Not all insurers or insurance plans cover massage therapy and not all insurance covers massage therapy performed by a Licensed Massage Therapist (LMT), some only cover massage performed by a Physical Therapist or Chiropractor. At Elevated Bodyworks, we are only in-network with the following plans: Pacific Source, Regence Blue Cross, and Providence.

To find out if your plan covers massage by an LMT, you need to verify if you have benefits. We are happy to do that step for you, but please know we are just relaying what we are told by the insurer and cannot guarantee the information we are given.

Fill out the intake form sent to your email at the time of booking your first appointment. Please note: we must receive this form 48-hours prior to your appointment to verify benefits!

Some insurers require a Pre-Authorization before covering massage therapy. Pre-authorization is permission from your insurer that is required before you can receive a certain type of treatment or service.

In order to obtain pre-authorization for massage therapy, our office staff will submit the correct CPT code and diagnosis codes to the insurance company along with a request form and other supporting documentation, which is completed at the time of your first appointment.

Your pre-authorization may only approve 4-6 visits for coverage. While you are not limited to only 6 sessions, we will need to submit updated information in 4-6 visits in order to obtain a new authorization. Pre-authorization is a great example of why verification of benefits needs to occur prior to your appointment. Because if pre-authorization is not secured, services will not be covered by insurance, and you could be stuck with the bill for the cost of your care.

The Current Procedural Terminology (CPT) codes offer doctors and health care professionals a uniform language for coding medical services and procedures to streamline reporting, increase accuracy and efficiency.

For massage therapy, there are two: 97140 and 97124. 97140 is associated with the more medically focused massage techniques, while 97124 is for less medically focused techniques. Some insurers cover only one code, while some cover both!

Most likely!

With a prescription from a physician (including naturopathic physicians or chiropractic physicians), your motor vehicle accident recovery therapy (including massage therapy) is covered in full under the Personal Injury Protection (PIP) of your auto insurance policy.

Personal Injury Protection (PIP) is an extension of your car insurance policy that pays medical expenses, lost wages, and essential services after an accident. Oregon Law requires all auto insurance policies to have Personal Injury Protection. If you have a Washington insurance policy you likely have PIP too. Washington auto insurance is required to provide PIP unless it is properly waived, which it rarely is. In order to use your PIP funds, we need to verify your claim information, as well as have a current referral on file.

With referrals, the insurance company wants to see what treatment the doctor recommends. That should include a diagnosis (one, sometimes more), the treatment type, frequency, and duration. Contact your doctor and mention you are interested in a referral for massage therapy. Bring up your history and if you have discomfort or limitations associated with that.

An example would be: Recommend massage therapy treatment for neck pain (code M54.5), for 60 min, 1x per week for twelve weeks. Once obtained, have the doctor’s office email (info@elevatedbodyworks.com) or fax (503-967-0493) it to us!

Obtaining updated referrals is your responsibility, so keep in mind the duration of the referral to make sure you ask for a new one when it expires.

Yes, most likely. This can be confirmed by verifying your massage therapy coverage with your insurer!

The information we need includes your full name, date of birth, insurance name, policy number, group ID, and provider phone number on the back of your card.

We are happy to verify your insurance for you. You must complete our intake form (sent after booking a new appointment) 48-hours before your appointment for us to do so!

Here are some good questions to ask your insurer:

Do I have massage benefits that can be performed by an LMT working independently? *not working under/with a chiropractor, or physical therapist.

Does my massage therapist need a prescription for massage?

Do I have to meet my deductible first? Or is it not subject to the deductible?

How many visits do I have per year?

Does the massage need a pre-authorization?

** If you want to see a specific provider at Elevated Bodyworks it is good to check with your insurance plan that the provider is contracted with your plan.