Playbook, physiotherapy clinic

Two different documents, and the physio question that decides which

An insurer invoice and a patient receipt look similar and do completely different jobs. One carries an authorisation code and a provider number so a claim can be paid. The other carries a registration number so somebody can claim the money back themselves.

Why this is not the general answer

The handling pattern for billing and invoices holds across every trade. What follows is the part that does not.

  • An invoice going to an insurer carries the authorisation code and the clinician's provider details, and it is not the document a self funding patient needs, so the first question is always who is paying.
  • A self pay receipt often has to show the treating physiotherapist's professional registration number, because the patient's own insurer or employer will not reimburse a receipt without it, and patients rarely know to ask until a claim comes back.
  • Insurers reimburse against fixed service descriptions, so a receipt that describes a session in friendlier language than the one you bill under can quietly fail a claim that would otherwise have paid.
  • Patients cross between insured and self pay in the middle of a course when an authorisation runs out, which splits one continuous programme across two billing routes and two sets of paperwork.

How it arrives

  • can i have a receipt with your registration number on it
  • did you invoice my insurer or do i pay you
  • my insurer says they never received the invoice
  • can you put all my treatment dates on one receipt
  • i have used all my authorised sessions who pays now
  • can you invoice my employer instead of me

What has to be indexed for this to work

Material behind this answer
What each document containsOne list for an insurer invoice and one for a patient receipt, field by field. Registration number, provider number, authorisation code, dates, service description. This is the page that stops the same query arriving weekly.
The service descriptions you bill under, verbatimThe exact wording, so the assistant quotes it rather than paraphrasing it. A paraphrase here is the difference between a claim paid and a claim queried.
Which insurers you invoice directlyAnd which ones require the patient to pay and claim back. Patients cannot tell these apart, and the wrong assumption costs somebody a month of chasing.
What happens when an authorisation runs out mid courseHow the clinic tells the patient, what the self pay rate is from that point, and who has to go back to the insurer for more sessions.

The reply

A reply worth copying
That depends on who is paying. If your insurer is covering the treatment we invoice them directly where we hold that arrangement, and the invoice carries your authorisation code [1]. If you are paying yourself and claiming back, ask reception for a receipt showing the treating physiotherapist's registration number, which is what most insurers and employers want to see [2]. I cannot look at your account or send a document, so reception is the place for the actual paperwork.

It opens by splitting on the only question that matters, which is who pays, rather than describing both documents at once. The registration number is named specifically, because that is the detail patients get caught out by and nobody warns them about. It closes by being clear that no document is coming out of this conversation.

Where it stops

The trigger. The visitor asks for a document to be sent, asks about a specific invoice, or says an insurer has queried or rejected one.

The handover, worded
I cannot see invoices or send anything out. Leave me your name, an email and what you need, and the clinic will sort the paperwork and reply.

It stops answering before it guesses, says who will pick it up, and asks for the one thing that makes a reply possible. Nothing about it reads as a dead end.

Never say this here

Out of bounds

  • Never say an invoice has been sent, received or paid, because the assistant sees nothing of the sort.
  • Never describe a treatment in different words from the service description you bill under.
  • Never state what somebody owes or how many authorised sessions they have left.
  • Never advise a patient how to word a claim so that an insurer will pay it.

Questions

Why does the registration number matter so much?
Because a receipt without it comes back rejected, and the patient blames the clinic rather than the insurer. Mentioning it before treatment saves a round of correspondence that always lands on reception.
Can it tell somebody how many sessions their insurer has authorised?
No. That number lives with the insurer and in your practice records, and the assistant can see neither. It can say that the limit exists and that the clinic or the insurer can confirm it.
Should the two document types really be separate material?
Yes. Written as one page they blur, and the assistant will describe an insurer invoice to somebody who needs a reimbursement receipt, which is exactly the failure this material exists to prevent.

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