Precision Performance Physical Therapy – Insurance & Billing
Thank you for choosing Precision Performance Physical Therapy!
We understand that medical billing can be confusing, so our goal is to make the insurance and payment process transparent and easy to follow.
General Breakdown
We file claims with your insurance provider directly. Your out-of-pocket expenses will depend on your specific plan. For patients with an unmet deductible, we collect directly from the patient per visit as a credit toward your overall deductible. See the chart below for the price per visit based on insurance company.
| Service Type | |||||
|---|---|---|---|---|---|
| Initial Evaluation | $165 | $165 | $70 | $70 | $165 |
| Follow-Up Visit | $165 | $165 | $70 | $70 | $165 |
| Re-evaluation Visit | $165 | $165 | $70 | $70 | $165 |
For patients with BCBS Plans
We understand this amount may appear higher than the “Patient Responsibility” listed on your Explanation of Benefits (EOB) from your insurance provider. Here’s why:
The Reality of Insurance Reimbursement & Collections
Once a physical therapy session is completed, we submit the claim to your insurance company. However, it often takes weeks, or even months, to receive payment or a final determination, and many plans leave a portion of the cost as the patient’s responsibility (e.g., deductible, co-insurance, or non-covered services).
Unfortunately, collecting outstanding balances after a visit has already occurred is extremely challenging, especially as insurance plans vary and patients often move on from care. Chasing down these balances increases administrative time, cost, and complexity—which ultimately takes resources away from where we want to focus your care.
Our Solution: Streamlining With Transparent Flat-Rate Collections
To simplify the process and avoid surprise bills later on, we collect a flat-rate payment of $165 at each visit. This amount reflects an estimate based on:
If your final insurance processing shows that your actual responsibility is less, we will reconcile the difference promptly, and you may receive:
We’re Here to Help
We never want financial questions to get in the way of your recovery. If you have concerns about your plan, coverage, or billing, please contact our front desk team. We're happy to walk you through your benefits, explain any charges, and ensure you feel confident and informed every step of the way.
SelfPay (Cash) Rates
Patient Credit
If you have a credit on your account, it will be applied towards future visits until your Plan of Care is Complete. If your plan of care is completed, we will issue a refund.
Cancellation & No-Show Policy
After a second late cancellation or no-show, a fee of $40 will be charged.
Verification & Submission
When you call to schedule your first appointment, we'll ask you for your insurance information. Then, as a courtesy to you, we will call your insurance company to verify your benefit coverage, and we’ll review this information with you before you begin your first visit. We will promptly file your claim with your insurance company on your behalf, so you won’t have to worry about having to fill out any other forms. Billing for physical therapy services is similar to what happens at your doctor’s office. When you are seen for treatment, the following occurs:
Deductibles
A deductible is the amount of money the policyholder is responsible for paying out of pocket before the insurance coverage kicks in. After a deductible is met, there are a few scenarios that can occur. The insurance company may cover you at 100% leaving no patient responsibility or there may be a coinsurance or copay due from you after deductible. What occurs is dependent on your policy and should be stated clearly for you in your insurance plan documents or Explanation of Benefits (EOB).
Coinsurance Explained
By definition, coinsurance is ‘a portion of the medical cost you pay after your deductible has been met. Coinsurance amounts due from the patient will vary depending on the Insurance Company and the policy. For example, if your coinsurance is 20%, you are responsible for 20% of the cost of a covered healthcare service after you’ve met your deductible. If the total cost of a service is $100, you would pay $20, and your insurance would pay $80.
Issuing Statements
At the beginning of each month, we issue statements of your account showing account activity for the previous month. The statement shows your dates of service (DOS), the amount you have paid, the amount your insurance or third-party payer has paid, the amount pending claims processing, and your patient responsibility amount.
Patient balance is due within 10 days after you've received your statement and/or no later than the 25th of the month. Your balance will reflect the portion of your bill that the patient is financially responsible for paying. When your insurance company has processed the claim for your treatment, we are notified through an explanation of benefits (EOB) about the portion of the claim that will be either paid by insurance or will not be paid for by insurance because it is part of your deductible or part of your coinsurance responsibility. Any balance not paid for by your insurance company becomes part of the patient responsibility amount that you will be expected to pay.
If your treatment dates of service occurred in two different calendar months, your first statement may show only those visits from the first calendar month and your patient responsibility amount for visits during that first month. Please be sure to pay your statement balance due upon receipt of each statement.
You will receive a statement whenever your account has balance due. Payments can be made online, mailed in with the statement, or called in to the office. All major credit cards and checks are accepted.
We never want financial questions to get in the way of your recovery. If you have concerns about your plan, coverage, or billing, please contact our front desk team. We’re happy to walk you through your benefits, explain any charges, and ensure you feel confident and informed every step of the way.