Prescriptions and Letters of Medical Necessity

All Regence BCBS and Motor Vehicle / Car Crash Claims require a prescription or Letter of Medical Necessity on file to cover Massage Therapy. Your doctor (MD, ND, DO) or chiropractor can provide this.

We require referrals or Letters of Medical Necessity for all health insurance and Motor Vehicle claims.

You are responsible for renewing these prescriptions when they expire.

This requirement does not apply to HSA/FSA accounts at this time.

Insurance does not pay for:

“Maintance” or relaxation massage. We will always need a primary complaint as mentioned in your referral.

No-show fees or missed time if you are running late. These must be paid out of pocket to your massage therapist.

Fill out your intake form ASAP so our billing specialist can verify your benefits. We email the form immediately after you book the appointment.

We accept these insurers.

Emily: Existing Regence BCBS clients only.

Carisa: MODA (Connexus/Synergy), Providence and Regence BCBS.

Lise: Providence and Regence BCBS.

If you have out of network massage benefits, we can bill for you. Call your insurer to find out if this is an option for you.

Helpful hint: Don’t schedule a massage the same day your receive chiropractic, PT, OT or acupuncture treatments. We bill similar codes, and insurers will only pay for one treatment per day.

Do this before booking.

Call your insurance provider to verify your massage benefits. Ask these questions:

• Is massage by a massage therapist covered by my plan?

• Do they need to be “in network”?

• Do I need preauthorization ?

Once your insurer has confirmed coverage and you know what to expect, go ahead and book your health insurance massage appointment.

Our billing specialist will verify your benefits as well.

We also accept PIP claims from motor vehicle accidents.

Did you recently get into a car crash or motor-vehicle accident and need clinical massage as part of your recovery? We’ll bill your PIP/car insurance usually with no out-of-pocket costs to you.

Physician’s referral required — please bring it with you to your first session. Book your MVA massage appointment.

We keep billing simple.

• Copays are collected the session.

• We bill insurance companies at $200 per hour.

• Patients are responsible for any claims not covered by their insurance.

If you have questions, contact our billing specialist billing@cocoonpdx.com.