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We participate in the following health plans and networks:

Aetna . Active Care . Align Network . AmeriHealth . Argosy . Beech . ChoiceCare/Humana . CIGNA Health Care . Commonwealth of PA(KeyScripts) . CompAmerica/EOS . CompServices . CorVel CorCare . Devon Health Services . Dept. of  Labor . Coventry/First Health . FOCUS . Gateway . Health America . Health Assurance . Highmark . InterGroup . Integrated Health Plan . Managed Medical Assurance . Multiplan . Ohio BWC . OptumHealth Care  Solutions . Physicians Health Services . Preferred Provider Network . Premier Comp Solutions . Prime Health Private Health Care Systems . Procura . SelectCare Access . Tricare . TheraMatrix . UnitedHealthcare/Optum Health . UnitedHealthcare Community Plan . UPMC(HMO,PPO,EPO, Advantage For Life) . USA . MCO . VA . WorkWell.

Click here to go to Schedule Appointment

 

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Please download and complete these Client Registration Forms before your appointment

 

If you do not see a plan, please call (800) 783-1008.

Managed Care Benefitsmanaged care

PHYSICAL THERAPY MANAGED CARE BENEFITS/PRIOR AUTHORIZATION
NPI#1780614453
Scheduling and Billing: 1-800-783-1008  www.theptgroup.com

Outpatient Physical Therapy Centers

Apollo . Connellsville .  Derry . Greensburg-Pellis Rd . Greensburg-Ortho & Sports-Rugh St . Greensburg-W. Newton St . Harrison City . Irwin/N. Huntingdon . Jeannette . Johnstown/Richland . Latrobe . Lower Burrell/New Kensington . Monroeville . Moon Township Mt. Pleasant . Murrysville . New Alexandria . Penn Hills Pittsburgh-Downtown . White Oak/McKeesport

Balance Therapy

Derry . Greensburg-Pellis Rd . Harrison City/Penn Twp . Irwin/N. Huntingdon . Jeannette . Johnstown/Richland . Latrobe . Lower Burrell/New Kensington Monroeville . Moon Township . Mt. Pleasant . New Alexandria . Penn Hills . Pittsburgh-Downtown . White Oak/McKeesport

Below is a summary of physical therapy benefits and prior authorization requirements of managed care organizations.  If you are aware of changes, or plans that you would like us to participate with, please contact Walt Henry,  Director of  Marketing and Development/Partner at 1-800-783-1008.

Direct Access Offices

Direct Access – Physical therapy evaluation and treatment without a physician’s referral for up to 30 days is permitted by PA legislation, regulation, and licensure. Highmark, Health America, and Aetna recognized and reimburse for Direct Access; Medicare and Medicaid managed care programs do not. All other insurance is authorized on a case-by-case basis.

The following offices accept Direct Access clients-

Apollo . Greensburg-Pellis Rd . Greensburg Ortho & Sports . Greensburg West . Harrison City/Penn Township . Irwin/N. Huntingdon . Jeannette . Johnstown/Richland . Lower Burrell/New Kensington . Monroeville . Moon . Mt. Pleasant . Murrysville . Pittsburgh/Down-Town . White Oak/McKeesport