Out-of-Network Insurance Reimbursement

At Rehab Health 360, we understand that navigating insurance coverage can be confusing. While we are out-of-network (OON) with most insurance plans, many of our patients with OON plans receive partial reimbursement directly from their insurance company.

What is a superbill?

A superbill is an itemized receipt that we provide to you for you you to send to your insurance for potential reimbursement. A superbill includes:

• Dates of service

• CPT and ICD-10 codes

• Provider and clinic details

• Fees paid

Here’s how you can make the process simple and stress-free:

Step 1: Call Your Insurance Company

Check the Member Services number on the back of your insurance card and call to confirm your out-of-network physical therapy benefits.
When you speak with your representative, you can say:

“I’d like to receive physical therapy at an out-of-network clinic that provides advanced rehabilitation. Rehab Health 360’s clinicians have advanced degrees and board certifications in neurological and orthopedic rehabilitation, offering specialized care for complex needs.”

Step 2: Provide Our Clinic Information

Have this information handy during your call:

• Clinic Name: Rehab Health 360

• NPI Number: 1881263614

• Address: 289 Great Road, Suite 306, Acton, MA 01720

• Phone: (978) 263-3600

• Email: info@rehabhealth360.com

Step 3: Ask About Reimbursement for These CPT Codes

Your superbill may include the following procedure codes:

• 97162 — Physical Therapy Evaluation (moderate complexity)

• 97110 — Therapeutic Exercise

• 97530 — Therapeutic Activities

• 97112 — Neuromuscular Re-education

• 97140 — Manual Therapy (mobilization)

• 97116 — Gait Training

Step 4: Ask About Necessary Documents

Ask if these services are eligible for out-of-network reimbursement and whether a referral or pre-authorization is needed.

Step 5: Submit!

You can upload this to your insurance company’s member portal or mail it in to request reimbursement.
If your plan includes a deductible, your superbill submissions often count toward your deductible, helping you reach it faster.

Frequently asked questions

What does “out-of-network” mean?

Being out-of-network means that Rehab Health 360 does not have a direct billing agreement with your insurance company. You pay for your sessions upfront, and your insurance company may reimburse you directly, depending on your PPO plan’s out-of-network benefits.

How long does reimbursement take?

Every insurance company is different. Most patients receive reimbursement within 2–6 weeks after submitting their superbill, depending on how quickly the claim is processed. Check your insurance portal for claim status updates.

What is a Superbill?

A Superbill is an itemized receipt we provide after your visit (or monthly, if you prefer). It lists all necessary medical codes, dates of service, and payments. You submit it to your insurance company to request reimbursement or apply it toward your deductible.

Do you accept FSA or HSA cards?

Absolutely. Rehab Health 360 accepts FSA (Flexible Spending Account) and HSA (Health Savings Account)cards for all eligible physical therapy services.

Will submitting a Superbill help meet my deductible?

Yes! If your plan has a deductible, your superbill submissions typically count toward your deductible. This means the payments you make out-of-pocket may help you reach your deductible sooner.

Can you submit my superbill for me?

Currently, patients submit their superbills directly to their insurance company. However, our team is always happy to help guide you through the process and answer questions along the way.

Ready to start?

Fill out this intake form and we will call you to schedule an appointment

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Give us a call at 978-263-3600 and we will help get you started