Direct Billing with Blue Cross
How Revolution direct bills to blue cross
Assessments and first sessions with Revolution are always paid for out of pocket in the clinic.
Upon request for direct billing to Blue Cross, your therapist will send you the Blue Cross intake form.
This form gathers all the information and permissions we need to direct bill on your behalf.
For your reference, the consents required for direct billing are listed below.
Permission to Direct Bill: I authorize the service provider (Revolution Rehab Inc.) to submit claims to Manitoba Blue Cross on my behalf.
Privacy and Sharing of Information: I authorize the clinic and its associated health professionals to collect my personal and Blue Cross Member information as documented above. In addition, I authorize the clinic and its associated health professionals to communicate with the insurer as deemed necessary. I also understand that my personal and medical information is confidential and will only be disclosed to third parties with my permission.
Understanding of Coverage Limits: In the case that my policy does not cover 100% of the treatment, I agree to pay the remaining balance to the service provider (Revolution Rehab Inc.) within 48 hours of notification.
Prescription: In the event that a prescription is required, I understand that it is my responsibility to submit the prescription to the insurance provider before direct billing can be implemented.