OPTIMA

The Center for Musculoskeletal Rehabilitation

Financial Policy
Payment in full is due the day services are rendered by all patients on a cash only plan. Prompt payment is expected, unless prior arrangements are made. Overdue accounts will incur a 1.5% interest rate per month, plus reasonable collection fees.

Cash, check or credit card are all acceptable methods of payment.

For those patients who have insurance covering rehabilitation/physical therapy care, we will be happy to fill out and submit all claims at no additional charge. If our office is filling out your insurance paperwork, payment is not expected the day of service. If, however, you chose to submit your own claims, payment is required the day of service. Insurance patients are required to sign the American Medical Association Standardized Claim Form as well as the Assignment of Benefits Form. You are also required to bring in the appropriate claim form, signed by the insured.

Those insured under Personal Injury Protection (i.e. auto accidents) or Worker's Compensation, are required to complete specific forms pertaining to their situation.

Those covered by General Insurance are responsible for payment of their deductible and co-payments.

Insurance patients who neglect to supply this office with necessary information/forms within reasonable amount of time will be responsible for payment in full.


OPTIMA
Education • Function• Strength • Stability • Independence
3225 International Circle, Suite 100 • Colorado Springs, CO 80910
Phone: (719) 471-4221 • Fax: (719) 471-3734 • E-mail: pt@optimarehab.com

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