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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.


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Additional Commercial Insurance Content

Coding Win: New Caregiver Education Codes Available to PTs in 2024

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.

Commercial Payer Update, August 2022

Aug 24, 2022 / Roundup

The PTA differential, MPPR, payment limits, and more.

New Member Benefit a One-Stop-Shop for Prior Authorization, UM Advocacy Tools

Mar 15, 2022 / News

APTA and the Private Practice Section have collaborated to create SPARC — the State Payer Advocacy Resource Center.

One-Size-Fits-All Insurance Is Shortchanging Older Athletes

Jan 25, 2022 / Perspective

Health insurance coverage for outpatient musculoskeletal rehabilitation disregards variability in prior level of function, rehabilitation progress, and personal recovery goals.

Advocating for Coverage: Template Letters

Jan 14, 2022 / Open Access

Access a variety of template letters you and your patients can use when your patient is denied coverage, the services approved are inadequate, or care is delayed, and a utilization management company is involved.

Payment and Regulatory Update - Dec. 1, 2021

Dec 1, 2021 / Members Only

Topics discussed: Medicare Physician Fee Schedule, Vaccine Mandates, Commercial Payer Updates

Cohere To Take Over All MSK, Therapy Prior Authorization for Humana

Nov 12, 2021 / News

Humana's decision to rely solely on Cohere beginning Jan. 1, 2022, comes after a 12-state program rolled out this year.

Advocacy Update: Telehealth, UM, and Claims Challenges: Commercial Payers

Sep 29, 2021 /

APTA's monthly advocacy and regulatory update to keep you informed on issues that matter most to you in the areas of advocacy, regulatory issues, and payment.

Payment and Regulatory Update - Sept. 22, 2021

Jul 21, 2021 / Members Only

Topics discussed: Provider relief funding, vaccine mandates, DMEPOS, SNF and IRF final rules and commercial payer updates.

UnitedHealthCare Publishes CPT Codes for its Permanent Telehealth Provisions

Jun 2, 2021 / News

UHC is the first major insurer to keep telehealth for PTs beyond the public health emergency. Here are the codes that will be covered.