WEST SIDE WELLNESS
  • welcome
    • our policies
    • your first session
    • find us
    • press
  • who we are
    • our therapists
    • our bodywork
    • who does what
  • our prices
    • rates + packages
    • monthly plans
    • auto insurance
  • give wellness
    • e-gift cards
    • retail store
    • pay it forward
  • book online

neighborhood health plan

we're now a neighborhood provider.

can we bill your health insurance?

The answer is: maybe! We're approved providers for certain clients with Neighborhood Health Plan! And if you're an eligible client, massage with us will be at no cost to you. Awesome, right?

things to know

Only certain Neighborhood Health Plan clients are eligible for massage. Generally you may be eligible if you have Medicare/Medicaid though Neighborhood. We recommend you call Neighborhood to check your coverage.

Only some of our therapists are approved providers: currently, Coreen Crogan.

If massage is covered under your plan, Neighborhood will approve six 60 minute sessions per year, with the possibility of further sessions by request.

additional info

Health plan links:

Neighborhood Health Plan of Rhode Island

HealthSource RI (health care marketplace)
Picture
West Side Wellness NPI numbers:

Practice: 1417215690
Coreen Crogan, LMT: 1750997128

steps to take

Neighborhood must receive and approve a Prior Authorization request from your physician before you can schedule your first massage with us.

1. If your physician isn't familiar with your pain condition, pay them a visit so they can accurately diagnose your pain.

2. Have your physician fill out the Prior Authorization form (we've filled it out partially and you can download it below). It must include a diagnosis code, as well as a procedure code. There are two procedure codes for massage therapy: 97124 massage therapy, and 97140 manual therapy.

3. Your physician must send the completed form, plus supporting clinical notes, to Neighborhood Health Plan.

4. Neighborhood can take up to 2 weeks to approve your authorization, at which point they fax us the approval.

5. When we get the approval, we will call you to get you scheduled. Do not schedule your massage prior to your approval.


In Lieu of Service Prior Authorization Form
File Size: 1575 kb
File Type: pdf
Download File

west side wellness, LLC
376 west fountain street  /  providence rhode island 02903  
p 401-274-2225  /  txt 401-307-5871
westsidewell@gmail.com  /  DIRECTIONS

FACEBOOK  /   INSTAGRAM  /  WORDPRESS

​JOIN OUR TEAM
​
Check out West Side Wellness on Yelp
hours: massage by appointment only
booking: call us, use the MindBody app, or click the web chat >>

payment accepted: cash, checks, all credit cards, and HSA/Flex Account cards


copyright 2022 west side wellness, LLC
we make wellness accessible
Picture
  • welcome
    • our policies
    • your first session
    • find us
    • press
  • who we are
    • our therapists
    • our bodywork
    • who does what
  • our prices
    • rates + packages
    • monthly plans
    • auto insurance
  • give wellness
    • e-gift cards
    • retail store
    • pay it forward
  • book online