Insurance Estimates & Patient Responsibility
You may receive an Explanation of Benefits (EOB) from your insurance company. If you were quoted an estimated patient responsibility, we will not bill more than that estimate as long as we receive the expected payment directly from your insurance. Estimates are based on information available at the time and may change after claims are processed.
We verify benefits as a courtesy; quoted benefits are not a guarantee of payment. It is your responsibility to know your coverage, notify us of any changes, and pay any copays, coinsurance, deductibles, non-covered services, or other patient-responsible amounts determined by your plan.
Direct-to-Patient Check Payments
Some plans (including certain Blue Cross/Blue Shield and employer plans) issue payment to the member rather than to the provider. When your insurer issues payment to you for services provided by Mizuta & Associates Physical Therapy, you agree to remit to us the insurer payment amount shown on the EOB/ERA for those services within 30 calendar days of the EOB date.
We will email you a copy of the EOB when it posts. Your obligation to pay us is not contingent on whether you receive, locate, or cash the insurer’s check. If a check is lost, misdirected, or delayed (for example, due to a change of address), you remain responsible for timely payment to Mizuta PT and may work with your insurer to reissue or reimburse yourself.
If you receive any checks or electronic payments intended for our services, please notify our front office. You may endorse/retain any subsequent insurer checks to reimburse yourself after you have paid us.