Insurance and Billing

Medical Insurance and Gumshoe Health:

Providers at Gumshoe Health are credentialed with most insurance companies including Regence, Premera, First Choice, Aetna, Cigna, United, and Lifewise. PIP and L & I claims are also accepted. Different types of providers and/or individual providers may or may not be covered by the same companies other providers are credentialed with so please feel free to call and verify before booking. When booking online, selecting your insurance company option for treatment will only show providers who are credentialed with that insurance company.

 

For appointments with naturopathic physicians: After your first appointment, our Electronic Health Record system Athena Health, will perform a courtesy double check of your insurance eligibility. This is not however, a confirmation of benefits or coverage. This is the most we can do to reduce the possibility of any unexpected bills due to insurance rejection. It is very important to note that this is not a confirmation of benefits and that you should always be aware of what your insurance plan will cover and what your deductible, prior authorization requirements, co-pay, and/or co-insurance may be. It is also vital that you track what benefits you have already used throughout the year, as different insurance companies may lump certain services together and individual organizations are not notified of what may have been billed on your behalf by other organizations.

We cannot stress enough that you be aware of what your own benefits are. This is especially true since we are often told incorrect information when we call an insurance company on your behalf.

 

For appointments with massage therapists, counselors, physical therapists, and acupuncturists: It is important that you call and double check your insurance benefits before your visit. You will want to ask what copay/coinsurance, deductibles, maximum number of visits, and prior authorizations your insurance plan may require. This is in order to reduce the possibility of any unexpected bills due to insurance rejection. It is also vital that you track what benefits you have already used throughout the year, as different insurance companies may lump certain services together and individual organizations are not notified of what may have been billed on your behalf by other organizations.

Certain insurance companies and plans may require pre or prior authorizations that can catch patients by surprise when they find out that their insurance will not cover something that is stated as a benefit. Again, it is important that you are aware of what your coverage is.

Please note that it is always required that you have a referral or prescription for massage, even if your insurance company tells you otherwise. The reason for this is that massage therapists cannot legally diagnose conditions. Diagnosis codes are a fundamental part of the billing process. If we do not have diagnosis codes, we cannot get paid.

Book an Appointment Online