DIRECT BILLING
Claim & receive with eClaims.
We offer direct billing to 20 + major insurers, covering 85% of privately insured Canadians.
- Reduce your out-of-pocket expenses.
- Eliminate insurance paperwork.
Ask us to submit your claim at your next visit.
- If you use your insurance very First time or First time of the year, please check below information with your insurance company.
- Referrals from Physician or other Healthcare Practitioners: Insurance companies don’t notify you if you’re require to submit a New or Renewed Referral Note for Massage Therapy. So please check with your Insurance Company about Referral note before you come because they won’t pay you if you didn’t receive the note before the Massage Therapy Treatment.
- Account Set up: Direct billing system can not find your information if you don’t set user’s account from the insurance company’s claim portal site.
- Some Group insurance plans are not available for Direct claim. (ex: Student plan, Group Benefit)
You will need to print and fill out the following (2) forms before we can submit a claim on your behalf. We will need a digital copy:
North Toronto RMT Clinic eClaims Direct Billing Form
Download our New Patient Intake Form
Massage Therapy Services
Massage therapy has long been valued for its therapeutic and healing properties.
The techniques now referred to as Swedish Massage have been employed by health care practitioners for centuries, all across the world. Swedish massage uses slow, smooth strokes applied with the fiber of each muscle of the body to promote relaxation, improve circulation, and support the body’s natural healing processes. These techniques form the foundation for nearly every massage treatment and can be built on and modified to suit each client’s individual needs and preferences.
In addition to the traditional Swedish massage techniques, our therapists offer a range of massage modalities that you can add to your treatments in order to maximize the benefits for your unique needs.
North Toronto RMT Clinic Register Massage Therapists are qualified to assess and treat clients with WSIB (workplace injuries) or MVA (motor vehicle accident) injuries. If you are seeking massage therapy for payment under one of these umbrellas, one of our therapists will need to schedule and complete a complete functional assessment for submission to the appropriate agency before treatment can begin. When you make your initial appointment, please make sure your therapist is aware of the assessment needed so they can allot enough time for a thorough review.
MVA & WSIB Coverage
Home / MVA & WSIB Coverage
Extended Healthcare & Massage Coverage
Many extended healthcare plans offered by Canadian employers include provision for massage therapy. As part of your regular routine, massage is an excellent (and enjoyable) way to maintain good health and help prevent injury from the repetitive strains of your daily life.
If you’re not sure whether your benefits package included massage therapy, you can either check the benefits packet from your employer or simply call your insurance provider.
In order for your massage to be covered by any insurance plan, the services received must be completed by a Registered Massage Therapist (RMT). You may also be required to submit a doctor’s note recommending that you receive massage therapy.
Some insurance plans cover massage therapy but only up to a certain amount per visit. This may be a dollar amount or a percentage. Any amount not covered by your insurance company must be paid on completion of the treatment.
Therapeutic Massage • WSIB – Workplace Injury • Insurance billing
Read More: WSIB – Workplace InjuryInsurance Claims
Workplace Injury & Motor Vehicle Insurance Claims
For patients seeking massage therapy under a motor vehicle accident insurance claim or WSIB workplace injury, your therapist must perform a complete functional assessment before treatment can begin.
Typically, we like to combine the assessment with an initial treatment that will help soothe and calm the body after the potentially rigorous assessment exercise. To complete both components of your initial visit, please plan to spend approximately 30-45 minutes at the clinic. Because of this time block and the various pieces of paperwork to prepare, please inform your therapist BEFORE you arrive of the reason for your visit so they are able to give you the time that you need. If you are approved for treatments between 20 – 30 minutes per session.
When you come for your appointment, please bring along any information pertinent to your claim, including the name of the insurance company, your claim number and your adjuster’s name and contact information.
WSIB Claims
Following the initial assessment, your therapist will need to write up a review of your condition as they have understood it and submit it to the adjuster assigned to your case. From there, the write-up is reviewed by a nurse practitioner employed by WSIB and finally, your request for treatment approved or denied. This process may take up to 3-4 weeks. Once your request has been approved, your therapist will contact you to schedule treatment times that are convenient for you.
MVA Claims
Under current auto insurance laws, you will be eligible to begin treatment immediately after visiting the clinic for the first time. Please inform your therapist if you are solely seeking massage therapy or if you have also begun seeing a Physiotherapist, Chiropractor or both.
This will have an effect on the number of treatments your therapist will be able to provide. Your initial visit will consist of an assessment and treatment.
Registered massage therapy is not covered by OHIP, however, many extended health care plans provide coverage. Check with your insurance company or employer to see how much you are covered for. A referral from a doctor may be required by some insurance companies. Direct billing to insurance companies may be available.
Extended Healthcare & Massage Coverage
Many extended healthcare plans offered by Canadian employers include provision for massage therapy. As part of your regular routine, massage is an excellent (and enjoyable) way to maintain good health and help prevent injury from the repetitive strains of your daily life.
If you’re not sure whether your benefits package included massage therapy, you can either check the benefits packet from your employer or simply call your insurance provider. In order for your massage to be covered by any insurance plan, the services received must be completed by a Registered Massage Therapist (RMT). You may also be required to submit a doctor’s note recommending that you receive massage therapy.
DIRECT BILLING
Some insurance companies allow Assignment of Benefits—the provision that allows a massage therapist to bill them on your behalf so that you are not required to pay for treatment upfront.
Unfortunately EmpireLife, Green Shield and Blue Cross at this time is not part of eClaims program; in this case we would provide you an Official RMT Receipt and you are expected to pay us after treatment service. Most group insurance providers today have a secure online portal for you to submit to be reimbursed under your company plan guidelines and may require a doctor’s note.
If you have insurance coverage under any other health care plan, and would like us to complete billing for you, please call them to verify that they allow assignment of benefits.
Sound confusing? We know it can be—please feel free to give us a call or email if you’d like to discuss how we can work with your insurance provider. We’re happy to help.
Partial List of Group Insurance Companies
Canada Life Toolkit for Providers
Manulife Financial Toolkit for Providers
Manulife HANS Group Benefits Vision Claim Form
Sun Life Financial Toolkit for Providers
ClaimSecure Toolkit for Providers
GroupHEALTH toolkit
GroupSource toolkit
Manion toolkit
Cowan Insurance Group Toolkit for Providers
Johnson Toolkit for Providers
Johnston Group Toolkit for Providers
CINUP Toolkit for Providers
Chambers of Commerce Toolkit for Providers
Maximum Benefit Toolkit for Providers
First Canadian Toolkit for Providers
GMS Carriers 49 and 50 Toolkit for Providers
UV Insurance Toolkit for Providers
Alberta Blue Cross Toolkit for Providers