A receipt supports a claim, but it does not guarantee payment.
Plans can differ by professional title, service, referral requirement, annual limit and delivery setting.
Before booking, ask Fleming Fitness for the provider's full name, credential, service description and expected receipt information.
Then contact the organization responsible for the plan. Ask whether the provider and service are recognized, whether a referral or prescription is required and whether direct billing or pre-authorization applies.
Information to confirm before the first appointment.
Keep the questions specific to the provider and service rather than asking whether Fleming Fitness is generally covered.
Provider credential
Confirm the regulated title, registration or certification connected with the service.
Receipt and billing method
Ask what information appears and whether payment is due before submitting a claim.
Referral or authorization
Ask the payer whether documentation or approval is required before the appointment.
How to reduce reimbursement surprises.
Confirm requirements in the order that gives the payer enough information to answer accurately.
Get provider and service details
Ask Fleming Fitness who will provide the appointment and what will appear on the receipt.
Contact the payer
Confirm eligibility, limits, referral, authorization and claim-submission requirements.
Keep records
Save approvals, referral documents, receipts and claim decisions according to the payer's instructions.
Understand the difference between billing terms.
Similar words can describe different responsibilities and payment processes.
Receipt for reimbursement
You pay the provider and submit the eligible receipt according to your plan.
Direct billing
The provider submits a claim, but you may remain responsible for unpaid amounts.
Pre-authorization
The payer confirms required approval before a service is provided or claimed.
Veteran benefit questions must remain with the responsible organization.
Fleming Fitness may advertise available services and provide factual provider information. It does not decide Veteran eligibility, coverage or authorization.
Veterans should use their Medavie Blue Cross account or contact Medavie Blue Cross to confirm benefit details and required approval before service.
Questions about insurance receipts and billing.
Does Fleming Fitness direct bill insurance?
Availability depends on the provider, service and payer. Ask the office about the current process, then confirm your responsibility for any unpaid amount.
Will my plan cover kinesiology?
Some plans recognize Registered Kinesiologists and others do not. Confirm the provider's credential with Fleming Fitness and ask your insurer about your specific plan.
Do I need a referral or prescription?
Requirements vary. Ask the payer which professional must provide it and whether it must be in place before the appointment.
Can Fleming Fitness confirm my VAC eligibility?
No. Confirm eligibility, benefit details and authorization with Medavie Blue Cross or the organization responsible for the plan.
What if my claim is denied?
Ask the payer for the reason and appeal process. Fleming Fitness may provide factual receipt or provider information but cannot change the plan decision.