Direct Billing
Here at Elevation Health we offer direct billing to most insurance companies; we can bill most insurers on your behalf directly in clinic to help you save time in submitting your receipts to your insurance provider. The biggest advantage of direct billing is that it will reduce any out-of-pocket expenses or upfront fees related to your treatment. In addition if you opt for telehealth, we can also bill most of the service providers for the online sessions.
There are no charges applicable for direct billing your Physiotherapy and Massage Therapy services provided at Elevation Health; however in order to provide this service we will need your Insurer’s Plan or policy Number and Member ID Number to process this, but please do let us know in advance that it is an insurance claim to help you process the insurance claim efficiently.
Note: we cannot guarantee direct invoicing at every appointment unless informed prior to the session due to certain complications with certain Insurers’ benefits plan policies or due to problems with the submission portal.
What insurers can we direct bill to?
Direct Billing – Frequently Asked Questions
Does Elevation health do direct billing?
Yes, Here at Elevation Health, we do direct billing to most of the health insurance providers. We have them all listed above, if you don’t see yours listed get in touch and we can see if it is one we can set up.
How does direct billing work for extended health benefits?
You would be required to provide us with your policy and claim ID number, and we will submit it using the providers web portal. Upon submission, the health insurance provider portal will let us know the coverage amount of your appointment and if there is a balance remaining to be paid by client.
What treatments can you direct bill?
Health insurance providers cover most of the physiotherapy and massage therapy treatments that are provided at Elevation Health. Still, it is always advisable to call your Insurer or us to know your eligibility before the appointment date.
What if you have a WCB Claim (Workers Compenstaion Board)?
When you have an open WCB Claim or Work Injury, It is best to claim treatment expenses through the relevant Insurer. Unfortunately here at Elevation Health we do not have a WCB contract and cannot treat WCB claimed injuries.
Do I need a doctor’s referral?
A referral isn’t required to book an appointment with a Physiotherapist or Massage Therapist. However, some insurance plans may ask for one in order to provide reimbursement. We recommend checking with your provider ahead of your appointment to confirm their requirements.
Can you check what my exact coverage is or how many visits are covered?
We may be able to provide an estimate of your coverage for a visit and any out-of-pocket cost. However, we’re unable to confirm your full coverage limits or the number of visits included. For complete details, we recommend contacting your insurance provider directly.
What happens if my extended health carrier partially covers my visit?
If your extended health benefits only cover a portion of your visit, you will be responsible for paying the remaining balance.
What happens if your claim gets denied?
If your insurance claim is denied, you will be responsible for covering the full cost of the visit.
What if I have a secondary insurance plan?
If you’re covered under a spouse’s benefits as well, some insurance providers allow us to direct bill both plans, first to the primary insurer, then to the secondary for any remaining balance. However, many insurers only accept billing through the primary plan, leaving you responsible for the unpaid portion. In that case, you’ll receive a receipt to submit to your secondary provider, either manually or through their online portal (if available).
What happens if the portal is down and we are unable to complete the direct billing process?
Occasionally, due to technical issues with insurance portals, direct billing may be temporarily unavailable. If this happens, you’ll be asked to pay for your visit at the time of service and can submit the claim to your insurance provider for reimbursement.
Do you bill Veteran Affairs Canada?
Yes, we bill Veterans Affairs Canada (VAC). Eligible veterans with a K number may be pre-approved for up to 20 physiotherapy visits through VAC. If you are a Canadian veteran, please contact us and we can help determine your eligibility for physiotherapy coverage.
For more information, visit the Veteran Affairs Canada website.