BILLING AND INSURANCE QUESTIONS

frequently asked questions:

Does my insurance cover Therapy?   Orthopaedic Rehab Specialists has a Patient Account Services Department (PAS) that has a team of Insurance Verification Representatives that will verify your insurance benefits as a courtesy to you. It is ultimately your responsibility to know your benefits. 

How much will I owe?  Based on your benefits, we will ask you to pay a suggested amount based on the information we are given by your insurance company at the time of verification. The suggested amount may be more or may be less depending on how your insurance company processes your claims. 

I paid what I was asked. Why am I receiving bills?  The amount we asked you to pay at each visit is a suggested amount.  If you owe anything beyond what was collected at the time of service, you will receive a statement.  Statements go out monthly.

I asked what I owed when I was in for an appointment.  I was told I didn’t owe anything. Why am I receiving a bill?  There are still claims pending with your insurance company.  Your account may reflect a zero balance until the claims get processed.

I was told I had a copay, I paid it at each visit.  Why do I owe more money?  Some insurance policies have a coinsurance, rather than a flat copay.  If you have a coinsurance, you will owe a percentage of the approved amount.  This may be more or less than the suggested amount we ask you to pay at each visit.  We do not know exactly what you will owe until your claims are processed through your insurance.

My insurance company states my deductible is met.  Why do you say it is not?  Since we bill daily, our claims may be processed before other providers who may not bill daily. Claims are not necessarily processed in the order in which you have seen your provider.  We suggest an estimated amount at each visit toward your deductible to avoid a large bill at the end of your therapy.  You will want to review your explanation of benefits (EOB) from your insurance company to see the exact deductible amounts applied at each visit. You can match this information up with the statement you receive from us.

What if I have overpaid you?  Once you have finished your therapy and all your claims have been processed through your insurance company we review any accounts with a possible overpayment. If we owe you a refund, you will receive a paper check from us. If you have a question about your account, please contact our Patient Account Specialist at the number below.

Contact any of the ORS Patient Account Specialists below:

Insurance Verification Specialist: 
Jenny Simon 517-990-6211

Insurance Verification Representatives: 
Jodi Midena 517-990-6211

Patient Account Specialist:
Sandy Iveson 517-990-6209

CONTACT ORS PATIENT ACCOUNT services TEAM

Call ORS: 517-990-6211
Fax: 517-990-6212