Many of you come to Tyler Massage because your doctor or physical therapist has referred you to our clinic for medical massage.  You may be wondering if your sessions can be filed with your insurance. Tyler Massage does not file insurance claims; however, we supply you with the necessary documents to file with your insurance company for reimbursement. This allows us to keep costs as reasonable for all clients – whether or not they have insurance that covers manual therapy.

This link will take you to a list of questions to ask your insurance company to determine your benefits. Make note to ask about Manual Therapy versus Massage Therapy.

  1. Tyler Massage is NOT a preferred provider for any of the insurance carrier. This means we are not “in network”, but some insurance companies will cover “out of network” benefits.
  2. Ask them what type of documentation you will need to get reimbursed by your insurance company.
  3. If you need a prescription, the doctor needs to include the diagnosis codes. Check with insurance to see if you also need a letter of medical necessity.
  4. If you are submitting for FSA or HSA reimbursement, ask if you need a prescription, a letter of medical necessity, or both.
  5. If you feel that the treatments have benefited you; say so.  Be an advocate for your treatments
  6. Remember, NO does not always mean NO.  State that you have had significant relief from our treatments compared to others.  State that it has saved the insurance company $$ on prescriptions if this is true.  Other things to bring up are…you are able to do activities of daily living with more ease, improved range of motion and feel that this type of therapy is working better than others you have tried and that they have paid for.

The most pressing question is: Do you cover the CPT code 97140/Manual Therapy if performed by a Licensed Massage Therapist specializing in Manual Therapy?  Tyler Massage Therapists are trained in Myofascial Release, Neuromuscular Therapy, Range of Motion and much more.