UPMC Centers For Rehab Services — Billing for services not covered by insurance plan

After having surgery at Ohio Valley Hospital on January 30, 2018, I was provided a prescription to have Physical Therapy 3 times a week starting January 31, 2018, for the shoulder. I started this PT at UPMC Centers for Rehab Services on January 31, 2018, as directed. Per the form provided to me by the Green Tree location each session with my list of exercises, my plan was approved through April 6, 2018. Shortly after starting my sessions, my doctor increased my PT to 4 times a week. I reviewed this revision with both Nic (Therapist) and Amy (receptionist) who assured me that while it’s rare to have a prescription this frequent, my insurance has unlimited visits or restrictions and that the amount was large enough I would not have to worry about going over my claim limits. Towards the end of April, I was advised that my insurance has indicated that I am 70% healed and would need to stop sessions as of May 3, 2018. A normal human being would assume that the center would manage co-pays (which were paid regularly) and that services provided would be covered under the insurance plan. Therefore, I am concerned that the center is billing me for services not covered by my insurance plan. I am not sure of the total outstanding balance as I received an invoice dated 5/17/2018 advising that I owe $143.11. At no point was I advised of any optional services that would not be aligned with my PT prescription or services provided.

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