Direct Billing

It is the client’s responsibility to:

• Provide a credit card or Visa/MC debit as a back up payment method in case of any issues (Blue Cross excepted)
• Ensure their plan allows direct billing for these services, and that the clinic can be paid directly. Some plans will only pay to the plan holder
• Know if a doctor’s note is required, if so this would need to be sent to the insurance company directly
• Find out limits of coverage (ie some plans only pay a percentage)
• Find out when the benefits year starts/ends

If the insurance company doesn’t reimburse the centre for any reason, the client is responsible to cover the cost. When this is the case the amount owing is due immediately and will be taken from the card provided. If there is no credit card on file or the credit card is declined, we will make reasonable attempts to collect, after which time all unpaid accounts will be sent to a collections agency.

Please fill out your online forms to expedite your appointment start time and arrive 10 minutes before your appointment time. (Appointments will end on time even if they aren’t started on time due to paperwork.) For some companies these forms need to be filled out each time as per insurance company guidelines. We do direct bill online for many companies and don’t need forms but we still need time to enter and process the claim.

Dual Benefits – If you are covered by your insurance as well as a spouse/partner’s plan, the insurance rules are that you must claim against your plan 1st and then you can claim on the alternate plan.  If you have a secondary plan that you would like to direct bill to, please contact us prior to your first appointment. We aren’t always able to submit to two plans. In some cases, the client must submit the balance to their secondary insurance company.