Patient Reimbursement Form | Super Bill | Cash PT Practice

Introduction This is to verify that _                                      has received and paid for the services provided in their plan of care while at Pursuit Physical Therapy.  This patient has paid in full out of pocket for the services provided and Pursuit Physical Therapy.  This form provides all of the necessary information for the patient to submit a claim to their insurance company for reimbursement or application to their deductible.  This form along with receipts should be provided to the patient’s insurance company.  PLEASE PROVIDE ANY PAYMENT OR REIMBURSEMENT DIRECTLY TO THE PATIENT. Patient Information Last Name:                                            First:                                     Middle:                              Date of Birth:                                       Sex:                                                                                     Address:                                                                                                                                            City:                                                        State:                                      Zip:                                     Marital Status:                                     Work Status:                                                                       Insurance Information  Insurance Provider:                                                                                                                        Insured Name:                                                                        Relationship:                                 Policy or Group Number:                                                                                                               Date of Birth:                                               Sex:                                                                             Employer’s Name:                                                                                                                           Insurance Plan or Program Name:                                                                                                 Provider Information Facility Name:                                                                              Address:                                                        Facility Type:        Code =                  ____ Provider:                       License #:                                   Tax ID #(EIN):                ...

How Much Revenue Should You Reach In Year 1?

If you are just starting out or wanting to open a cash practice… How much revenue should you reach in your first year? Everyone, asks us this question when they first start. Take a look at my first year revenue (and I really did not know what I was doing) I reached roughly $77,000 in my first year So with proper training and guidance …. your first year revenue sales should be around $70-100K Here is another video that may help you.  See Below Enjoy,...

The New Video Vault In The Cash Based Mastermind

Here Is The Answer To Your Marketing and Sales Problems! 🔥The Mastermind Video Vault🔥 Would You Like Access To All Of This Video Training…   (Yes, Please 👀🙋‍♂️🙋‍♀️)   ✅Get over 74 video modules and training   ✅24/7 online access   ✅Marketing strategies to get patients calling today!   ✅Sales concepts to increase conversion rates!   ✅…and business strategies to grow your practice with 20%+ pretax profit margins!   To find out more information about the Cash Based Physical Therapy Mastermind and ….   To get instant access to the Video Vault….   and to join our Exclusive Cash Based Mastermind Group (sorry PTs only!) with other successful cash based PTs ❗️💲📈 Just click below to get started:   👉 http://bit.ly/cash-practice-mastermind   Yes! I Want Access To The Video Vault And The Mastermind   👉 http://bit.ly/monthly-cash-practice-mastermind  ...

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