AthletePlus will electronically (or manually if electronically is not available) send your billed charges to your insurance company. We will submit claims on your behalf to your insurance company. For billing questions, firstname.lastname@example.org or call 751-8437.
Below is information included in your New Patient Packet
|We want to thank you for choosing AthletePlus as your healthcare provider. We are sure you understand that payment for this healthcare is your responsibility. The following information outlines your financial responsibilities related to payment for professional services: Required at Check In:
Payment Options: Check, Echeck, Credit Card (Am Ex, Master Card, Visa), Apple Pay, PayPal, Care Credit.
AutoPay/Recurring Payment Plans, Direct Self Pay/Membership Programs and Care Credit Financing available.
Collections Policy – Balances held over 90 days are subject to 1% interest charge or will be sent to Collection Agency with patient responsible for all fees.
_______ Initial *PLEASE NOTE THIS IS ONLY A VERIFICATION OF BENEFITS, NOT A GUARANTEE AND IS SUBJECT TO CHANGE. ANY AMOUNTS NOT COVERED BY INSURANCE WILL BE YOUR RESPONSIBILITY.*
I understand I will be responsible for the amounts shown above. As a courtesy, we verify insurance benefits for patients. This in
no way guarantees that your insurance company will pay exactly as quoted, benefits cannot be guaranteed over the phone.
This facility is not responsible for obtaining or being aware of your policy requirement for referrals from your primary care
physician, pre-certifications, or limits with your specific policy. Your insurance policy is a contract between you and your
insurance company; therefore the responsibility lies with you, the patient, to be aware of this information. We will assist you
if necessary to help you obtain this information. AthletePlus, is not obligated to withhold statements or to wait until settlement
has been made before receiving payment for services. I understand that payment will be collected at the beginning each visit. AthletePlus does offer payment plans for your convenience; however we do reserve the right to refuse treatment if payment
is not paid as per this agreement.
|* For MVA and/or Patients with Attorneys who will not use their Health or Auto Insurance: We agree to bill third party liable parties (ex. MVA/Attorney cases) when we have all the claim information the patient has signed a medical lien. The patient, at the time of service will be responsible for a $25 lien fee filed at Washington County Courthouse and an initial payment of $75 for the evaluation. Should the third party be dismissed or limits exceeded, the patient will be billed at our self pay rates and be responsible for any collection fees. Also, we will only hold these charges for up to 20 months unless payment is received and we will not negotiate fees at the time of settlement.|
I’ve loved my experience here. The staff was MOST EXCELLENT. Buena and Rodney were mostly my helpers. Both were attentive, respectful, and professional. You have a staff that you should certainly be proud of. Thank you for helping me. I appreciate everything you’ve done to help get me back to my Life.
Very helpful, they gradually increased my exercises to accomplish my goal of having no pain and greater strength. It was a much better experience than I anticipated, this was my first experience with physical therapy.
My experience at AthletePlus was very helpful in relieving my pain by increasing my strength and range of motion. Prior to receiving treatment, because of the pain, I was unable to sleep through the night. Now, I am able to resume normal sleep habits along with all other daily activities.
The past couple of months I had been feeling a lot of pain in my rib area. When I started coming here, my pain almost went away with only two sessions. My experience here has been wonderful! The people working here are so nice and I cannot thank y’all enough.
Extremely helpful in helping my recovery from my injury. They were able to provide a program that helped me progress as smooth and quick as possible.
I feel 100% better than when I arrived. Great Staff , Good program , Thanks for getting me back on track.
they defiantly helped me get my knees back to where i wanted them and even make them stronger.
Great experience. Always felt motivated to work my hardest and knew that the therapists were truly caring about my recovery.
My experience at AthletePlus, was the best. They helped me be more flexible and a strengthening my hip.
Overall a very positive experience. The staff has been very professional and have provided me with not just therapy, but a method to continue my work outside the center. All the exercises provided have been such that they can be integrated into my normal workout routine. This should allow me to work on any problems on my own in the future. I have been very pleased with the progress I made and with the program.