Brace Health resources
Practical guidance authored by the people who work on billing and practice operations every day.
5 resources
Before sending a patient statement, confirm the claim has been processed, the payer response and adjustments are posted, the balance is supported, and the statement is going to the right person through an approved channel. Hold unclear or disputed balances for review.
Updated
A benefits check can return information available from an eligibility transaction, such as coverage status or benefit details. It does not guarantee that a specific service will be covered or paid; claim adjudication depends on the submitted claim, plan terms, provider and service details, and payer rules.
Updated
A practice should distinguish an estimate from the patient responsibility established after the claim is processed. Before requesting payment, reconcile the payer’s adjudication and any contractual adjustments, then communicate the balance and payment options clearly under the practice’s policies and applicable rules.
Updated
A PT practice can prepare a stronger rate request by connecting a focused ask to evidence the specific payer may value, such as specialized access, network adequacy, or near-term cost. The case and likely outcome vary by payer and market.
Updated
Physical therapy owners can start with five billing measures: submission lag, rejections and denials, AR aging, payment realization, and open exceptions. Each measure needs a consistent definition and a next action.
Published
