Suggestions on How to become a
provider?
1.
Find out if you are allowed to become a provider in your state. You can
contact your state
insurance commissioners’ office or the local health insurance companies.
2.
If you are not allowed to become a provider consider, forming a group of
therapists in your state and begin the process of changing the law. Work with
your local massage association or state board.
3.
Find out what qualifications are needed to become a provider. Some
requirements may be a minimum of liability insurance or a minimum amount of time
being in practice. There may also be space requirements such as privacy
regulations and handicap access.
4.
Call the local insurance companies and ask for a provider application.
This is usually a detailed application.
5.
You will be required to sign a contract with the company and comply with
their rules and regulations. Read everything carefully.
6.
Find out what CPT codes you are allowed to bill and what is their
allowable fees for that code. Find out how many units of each code they will pay
for. Find out what you need from clients to ensure payments – prescriptions,
referrals, co-payments, chart notes etc.
7.
Prove to an insurance company that your treatment will save them money.
For example: 6-12 session of massage working with carpal tunnel can save the
insurance company the costs of surgery.
