By using this site, you are consenting to our use of cookies. To find out more visit our privacy policy.
APTA has resources to help you navigate payment with commercial insurance.
Commercial payers have unique requirements.
To improve your chances for correct payment, make sure you are documenting appropriately.
Recommended Content
Jun 1, 2020 / Resource
Find practical guidance, applications, and key considerations that will impact and enhance your everyday practice under managed care.
Dec 11, 2019 / Article
MPPR is a payment policy designed to avoid duplicate payment for practice expenses when multiple procedures to the same patient on the same date of service.
Jul 22, 2019 / Article
The ultimate goal is the provision of patient-centered care at the lowest cost and maximum outcomes.
Nov 4, 2019 / Open Access
Do you have a question regarding an insurer's payment policies and procedures? Maybe you need a current provider manual or need to speak with your designated provider representative. Here are links to major insurers throughout the region.
Additional Commercial Insurance Content
Nov 29, 2023 / News
The latest clarification from the mega-insurer comes after it released a set of burdensome policy expansions earlier this year.
Nov 1, 2023 / News
Aetna put its decision on hold, giving APTA time to press for a permanent shift. Other news from the insurer isn't as good.
Sep 12, 2023 / News
The 15% reduction, set to begin Dec. 1, would mimic CMS cuts adopted in 2022. APTA is pressing Aetna to reconsider.
Aug 18, 2023 / News
The changes, which affect outpatient physical therapy, DME, and home care, are part of a UHC effort to reduce administrative burden.
Jul 26, 2023 / News
UHC has dropped a signoff requirement that sparked concerns from APTA.
Jul 12, 2023 / News
UnitedHealthcare has announced changes that could result in considerable additional administrative burden for PTs. APTA is seeking answers.
Jun 14, 2023 / Roundup
The year isn't even half over, and the association has already scored some major victories for the profession (and teed up a few more).
May 26, 2023 / News
American Specialty Health will enter markets in all or parts of 15 additional states later this year. Could you be affected?
Mar 21, 2023 / News
The resource center, created by APTA and APTA Private Practice, now offers information on MPPR, the PTA differential, and more.
Nov 15, 2022 / News
APTA, AOTA, and ASHA successfully made the case for codes that can be applied to caregiver education for patients with functional deficits.