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  • Alert: Suspect 'Checks' Are Making the Rounds

    It isn't really payment for services — it's a tactic that makes it easy for you to unwittingly agree to join a provider network.

    Did you recently receive what appears to be a check for payment of services from a national proprietary provider network? Be careful: It may not be what you think.

    APTA has been made aware that some PTs are receiving what looks like a check but is in fact an agreement to participate in a provider network. The fine print that accompanies the check makes it clear: Endorsing and cashing or depositing this check constitutes acceptance of network participation, and acceptance and agreement of all terms and conditions of the agreement. APTA is sharing this information with you as a reminder of the importance of thoroughly reading all information from a payer or third-party administrator, or TPA.

    Before cashing or depositing checks from payers or third-party administrators make sure you are aware of any conditions associated with its processing. If you have office staff that manages checks received by your clinic, it is strongly recommended that you inform them of this practice and the need for you to be alerted to this type of communication from a payer or TPA.

    If you have questions or concerns contact advocacy@apta.org. Additionally, if you have been solicited by a network such as the one described above please let us know. For more information regarding managed care contracting, visit the APTA Commercial Insurance webpage.

    Please share this information with your colleagues.

    Comments

    • Why are you not naming who the TPA using this unscrupulous business practice is .I think is would be important that all APTA members know, The APTA should protect their members not "dance" around the issue.

      Posted by Craig Legacy on 3/11/2020 6:48 PM

    • How will I know this? My job has this insurance using this. I don't want to get scammed. My insurance is high enough as it is. Truly a ripoff.

      Posted by Flora Richardson on 3/12/2020 7:46 AM

    • Yes please name the company so we can be aware, shouldn't an issue.

      Posted by Brad Van Pelt on 3/12/2020 4:20 PM

    • I agree that names of the scam businesses should be named

      Posted by Tina Anghilante on 3/13/2020 9:45 PM

    • I too think these companies should be named.

      Posted by Debbie Rothenburger on 3/16/2020 8:04 AM

    • Here is the name and address of the company doing this: TRPN Direct Pay 6970 O'Bannon Drive Las Vegas, NV 89117

      Posted by Wendy Yunker on 3/18/2020 12:15 PM

    • Are the affiliated with other insurance companies like a workers comp company like MedRisk (they are over several other companies-yet all claims go throught MedRisk)? The only way a check should be cashed is if it can be applied to one of our patient acct's in my opinion. Are they sending ERA's etc with the checks?

      Posted by Vicki Hill on 3/31/2020 9:49 AM

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