Medical Massage

NPI # 1831580638
 
Insurance accepted include Personal injuries, Private Health Insurance, Workers' Compensation, HSA/FSA.
 
Doctor referral/prescription is required along with other medical necessary documentation in order for me to bill directly to your insurance company. 
Treatment Session: Length of treament and number of sessions is determined on a case by case basis.

RATES

15 Minute...........................................................................$20     
30 Minute...........................................................................$40

60 Minute...........................................................................$60
90 Minute...........................................................................$90
 
PREAPPROVAL IS REQUIRED BEFORE A SESSION!
Please send an email to elitemassagetherapy@outlook.com withe the answers to the following questions

First Name*

Last Name*

Date of Birth (ex.01/01/1975)*

Phone #*

Email Address*

Date of Accident*

(check one)*

At Fault?

Not At Fault?

Insurance Company or Attorney Name (or both)*

Insurance Contact Person Name & Phone #:*

Claim #*

Is this Your Insurance Company Information?*

Yes

No

Select All That Apply*

Taken Away in Ambulance

Went to Emergency Room

Being Treated by Other Practitioners (or plan to)

Do you have a doctor or chiropractor's prescription for massage therapy?*

Yes

No

Please list any details of the prescription in the box below.

Any Other Details we Should Know (medpay limits, amount left, other details)?

 
 
If you are unsure whether or not insurance will cover your massage therapy sessions, please email me your Insurance information and I will contact the Insurance company to verify what is covered in your plan!
If you are using Workers' Compensation or Personal Injury please send me the claim # and adjuster if you know it!
 
I am a Network Provider for Cigna/Allegiance Insurance 
 
If you have another insurance provider that covers massage please contact me and I will do my best to become a Network Provider!