Intake form Hipaa
These therapists share an office with Equinox Healing Arts:
Noreen Flack, LMP Massage in Ballard
Other useful links:
How do I use insurance to pay for massage or Bowenwork?
Washington State is one of the only states with a legal provision that includes massage therapists in the group of health care professionals that can bill insurance for services.
If your plan is based in Washington (Premera or Regence, for example), or if your company is based in Washington, there is a good chance that massage is included in your plan. If your plan is from out-of-state (Blue Cross or Blue Shield, Aetna, United Healthcare, among others), and your company is based in another state, massage administered by a massage therapist may not be covered.
Most plans require a prescription, since they only cover medically necessary massage, not wellness massage. Usually, a physician, a nurse practitioner, a naturopath or a chiropractor can write the Rx, but it is worth checking with your plan.
It is best to check your benefits ahead of time. Knowing if you have a deductible and what (if any) copay you have is always a good idea, and will save you time during your first appointment.
When you are checking your benefits, ask if massage therapy (codes 97124 and 97140-sometimes it is just 97124) is covered, and ask if massage is covered as administered by a massage therapist.
I know that sounds strange, but the codes we LMTs bill are for manual therapy, and can be used by other providers such as physical therapists or chiropractors. Many out-of-state plans say they cover massage, but only if done by a PT, OT or DC, and not by an LMT. Fun fact: insurance usually only allows a certain number of massage/manual therapy units per day, so if you get a massage and see a PT on the same day, that may be too many units of the same thing, and whoever bills last may get some or all of their claim rejected.
You can also ask about referrals/prescriptions: who can write it, and what does it need to include (besides a diagnosis code, which is the number that describes the diagnosis-M545 for “low back pain” for example). A number of sessions and a duration (such as once a week for 6 weeks) is usually required.
Finally, ask about how many massages are included in your plan. Some plans have unlimited massage, others have a specific number, others combine massage therapy with speech, occupational and physical therapy.
Please keep in mind that this entry is a guideline based on my years of experience billing insurance companies. Plans vary tremendously, even within each carrier.