ACTIVCORE

BILLING PRACTICES

Activcore is an out-of-network provider of physical therapy. Our prices range from $140 to $195 per hour session depending on your specific provider. Our policy is to collect payment in full at the time of service.

Our billing specialists can verify if you have out-of-network insurance coverage. They can also submit insurance claims so that you will get reimbursed directly from your insurance company.


Why are we out-of-network?
In a word, freedom. With the ever-changing insurance landscape, less and less time is directed at actually treating the patient. Conventional physical therapists must see multiple people at the same time, typically pushing you off to an assistant or aide. Or, even worse, they leave you on your own to do exercises that you could have just done at home.

Activcore refuses to play this volume game. As an out-of-network provider, we can prioritize you and your health over everything else. Out-of-network simply means there's no financial contract between Activcore and the insurance company. By paying upfront for each session, you're able to get the care you need to feel better sooner.


What does it mean to go out-of-network?
This simply means that you are seeing a PT who is not contracted financially with your insurance company. This does not necessarily mean that the service isn’t covered under your insurance policy. Our billing specialists can verify if you qualify for reimbursement.
 
Our policy is to collect payment in full from you at the time of service. We can then submit the insurance claims so that you get reimbursed directly from your insurance company. Typically you'll start receiving reimbursement checks within 4-6 weeks. Note: If you have a yearly deductible, that amount must be met before any reimbursement is issued.

Activcore does not make any guarantees of insurance coverage or reimbursement.


Can I use a Health Saving (HSA) Card?
Yes. Physical therapy services are typically covered by Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA).


Am I able to get a Good Faith Estimate (GFE) of the anticipated charges?
At Activcore, we believe that price transparency should be an essential part of the treatment experience. Therefore, upon your request, we can put together a Good Faith Estimate in an effort to avoid any billing surprises. This is an estimate of the total anticipated charges during your course of care. It is based on the costs of services that are reasonably expected for your healthcare needs at the time the Good Faith Estimate is created. It is just an estimate and not the final overall charges. It does not include any unexpected or unknown costs that may arise during your course of care. Your provider may recommend additional services that are not reflected in the Good Faith Estimate. In other words, the final cost could exceed the estimate. In the event you are billed more than what was expected, you have the right to dispute the charges, negotiate the bill, and/or ask us if any financial assistance or payment plans are available. If you are not satisfied with our billing practices, and the final overall cost is more than $400 over the amount shown in the Good Faith Estimate, you are entitled to start a dispute resolution with the U.S. Department of Health and Human Services (HHS) within 120 days of the date of the original bill. For more information, visit https://www.cms.gov/nosurprises

More Questions?

Our experts are happy to answer any additional questions you might have.