Self-Submitting Claims

How to Self-Submit to Your Insurance 

If Renew Physical Therapy is out-of-network with your insurance plan, you may still have out-of-network benefits that can help cover a portion of your care. 
When you choose to self-submit, Renew Physical Therapy will collect payment for services directly from you, and we will provide you with a superbill.  A superbill will contain the information your insurance company typically needs to process your claim. You then submit the superbill directly to your insurance company for possible reimbursement. 

How It Works 

1. Check your out-of-network benefits 
Before beginning treatment, we recommend confirming what your out-of-network physical therapy benefits are, including any deductible, coinsurance, or reimbursement requirements that may apply. 

2. Pay for your visits 
Payment is made directly to Renew Physical Therapy at the time of service. 

3. Receive your superbill 
We can provide you with a superbill that includes information commonly required by insurance companies, such as: 

  • Dates of service: the dates you are receiving physical therapy services
  • Provider information: the name and NPI of your provider
  • Diagnosis code(s): the ICD 10 code (standardized healthcare code) to identify your diagnoses/symptoms for seeing a PT
  • Procedure/CPT code(s): describes the treatment received in PT
  • Charges for services: receipt of services you paid for at the time of service

4. Submit your claim 
Submit the superbill to your insurance company according to your plan’s instructions. Many insurance companies allow you to upload claims through their online member portal or mobile app. Others may require a claim form to be mailed along with your superbill. 

5. Your insurance processes the claim 
Your insurance company will review the claim according to your individual benefits. If reimbursement is available, payment is generally issued directly to you, not to Renew Physical Therapy. 

Frequently Asked Questions

A superbill is a detailed document that contains information about the services you received, including your provider, dates of service, diagnosis and procedure codes, and charges. It gives your insurance company the information needed to consider an out-of-network claim. 

No. Reimbursement is determined entirely by your insurance plan. Your deductible, coinsurance, out-of-network benefits, exclusions, and other plan requirements can all affect whether and how much you receive. 

Yes. You are responsible for paying Renew directly according to our self-pay rates. Your claim for reimbursement is then handled between you and your insurance company. 

If your claim is eligible for reimbursement, your insurance company will generally issue payment directly to you. Check your Explanation of Benefits (EOB) after the claim is processed for details about how your plan handled the claim. 

Contact your insurance company using the Member Services number on the back of your insurance card. They can tell you why the claim was denied and whether additional information is needed. 

We’re happy to help! Contact billing@ptrenew.com for assistance with obtaining your superbill or your Renew front office team for help understanding the self-submission process. 

Please note: Renew Physical Therapy cannot guarantee insurance coverage or reimbursement. Coverage is determined by your individual insurance plan.