Thank you for choosing Upstream Rehabilitation for your therapy needs. We have created the Billing Resource Center to help you understand healthcare and our billing processes. The goal is to ensure you don’t have any surprises as you continue your journey to recovery. Please watch the attached video from our Senior Vice President of Revenue Cycle Shawn Pitré
Our billing process starts once we get an Explanation of Benefits from your insurance company advising us what your patient responsibility is. We will only bill you for the patient responsibility from your insurance company.
Please watch the video to help you understand our billing processes.
The following information is meant to assist you with commonly asked questions.
What is a Deductible?
A specified amount of money that the insured must pay before an insurance company will pay a claim.
What is Coinsurance?
The percentage of costs of a covered health care service you pay (20%, for example) after you’ve paid your deductible. Let’s say your health insurance plan’s allowed amount for an office visit is $100 and your coinsurance is 20%. If you’ve paid your deductible: You pay 20% of $100, or $20.
What is a Copay?
A copayment or copay is a fixed amount for a covered service, paid by a patient to the provider of service before receiving the service. It may be defined in an insurance policy and paid by an insured person each time a medical service is accessed.
What are Plan Benefits?
These are the details of your insurance plan and help you understand your plan benefits.
What is an Explanation of Benefits (EOB)?
An explanation of benefits is a statement sent by a health insurance company to covered individuals explaining what medical treatments and/or services were paid for on their behalf.
What is a Statement?
After we have received an EOB from your insurance company, Upstream Rehabilitation will send a statement for any patient responsibility that you owe.
What is Patient Responsibility?
The amount of money the patient is responsible for after their insurance plan has paid