Q: What types of personal injury cases do you accept?

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A. We accept personal injury cases involving motor vehicle accidents using MedPay (Medical Payments) or PIP (Personal Injury Protection) coverage through the client’s auto insurance policy, and Pre-Authorized Workers' Comp.

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Q:  Do I need a prescription (physician referral) for a personal injury claim?

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A: Yes. In most states, auto insurance will only reimburse massage therapy if a medical doctor (MD), chiropractor (DC), or doctor of osteopathy (DO) writes a prescription containing specific ICD-10 diagnosis codes and a defined frequency (e.g., 2x/week for 6 weeks).

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Q: Will in need to provide additional information for a personal injury auto claim?

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A: Yes, you must provide the following over the phone:

• Date of Injury (DOI) & Claim Number

• Adjuster Contact Info: Name, direct phone number

• Mailing address of the auto claim adjuster handling the case

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Q: How do I qualify for in-home massage on a personal injury auto claim?

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A:  Auto insurers will question why a client needs in-home care instead of visiting a clinic. The doctor's prescription must specifically note that the client is homebound, unable to drive due to severe injury/medication, or requiring in-home care.

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When running your Eligibility & Benefits check, we will confirm whether your PIP policy covers "Place of Service: 12"

(Home) versus "Place of Service: 11" (Office).

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Q:  Do I need a pre-authorization for a Workers' Comp claim?

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A. Yes. You must provide an official written authorization letter from the Workers' Comp adjuster approving a specific number of sessions (e.g., "12 sessions of massage therapy, CPT 97124, 2x per week").

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Q: Do I need to provide any additional items for a Workers' Comp claim to accompany the pre-authorization letter?

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A: Yes, you must provide the following over the phone.

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• Claim Number & Date of Injury (DOI)

• Employer Name

• Workers' Comp Insurance Carrier & Adjuster Contact

• Prescribing Doctor's NPI & ICD-10 Diagnosis Codes

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Q: How can I get you to travel to my home for for a workers' comp case?

 

A: In order to get travel-fees covered in your treatments, your prescription or pre-authorization from the doctor/adjuster must explicitly state "In-Home Medical Massage."

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Q: How could I pay out of pocket for my travel fees separately for in-home visits?

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A: You would be required to sign a Mobile Service Agreement stating: "Insurance covers in-office medical care. An optional, non-covered out-of-pocket travel/convenience fee of $X is paid directly by me (the client) to the practitioner per visit.

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I would be legally required to submit this letter for each of your invoices.​

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Q: How soon can I begin treatments?

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A: Strict pre-approval is required. You cannot be treated until the adjuster explicitly approves your treatment plan.

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Q: Do you accept legal/medical/attorney liens?

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A: No, we do not take on lien cases, lawsuits, legal settlements, or any case that could include an LOP (Letter of Protection).

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Q: Do you allow "Hybrid Payment" or Deposit Model payment options?

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A: No, we do not take on cases of this nature either.​