Financial Policies

(Effective April 28, 2025)

We are pleased you have chosen Origin Physical Therapy (FL), PLLC, Origin Physical Therapy (CA), Inc., Clampett Physical Therapy (NY), PLLC, Sullivan Physical Therapy, LLC, Origin Physical Therapy (NJ), LLC, Fiat Physical Therapy, LLC, To The Core Physical Therapy & Conditioning, LLC, The Rosipal Institute for Pelvic Therapy Solutions, PLLC and / or The Origin Way, Inc. (individually or collectively referred to herein as "Origin") for your needs.

We bill your personal insurance carrier solely as a courtesy to you. We require that you pay the estimated amount of what you owe (“Patient Responsibility”) at every appointment. It is not a guarantee of the amount you owe, it is only an estimate. Furthermore, if your insurance coverage includes virtual visits coverage, we endeavor to bill virtual visits at the same rate as in-person visit; however, we cannot guarantee it. You are responsible for your bill, so if you would like to be certain of your coverage and patient responsibility, we encourage you to verify with your insurance company prior to your appointments.

In the event that your insurance company requests a refund of payments made to us, you may be responsible for any  amounts refunded to your insurance company. If any payment is made directly to you by the insurance company for Services billed by us, you recognize an obligation to promptly remit the payment(s) to us. If formal collections procedures become necessary, you may be responsible for additional costs incurred.

We will review your estimated insurance benefits with you at the time of your visit. Your benefits are quoted to us by your insurance carrier, and we assume no liability for any errors made by your insurance carrier in this estimate. We will attempt to obtain authorization for additional appointments necessary once insurance coverage for the initial appointments ceases (including steps necessary to appeal a denial); however, this does not guarantee that your insurance will accept the request to authorize additional appointments. You are also responsible for keeping track of appointments covered by your insurance policy. You will be responsible for any visits  beyond the visits authorized by your insurance carrier.

BALANCE DUE / SELF- PAY / CASH RATES

You may be considered a self-pay patient and responsible to pay our direct to patient rates, and your balance owed may be due in full, if your:

• Insurance claims are denied for any reason
• Insurance coverage is inactive
• Insurance company doesn’t process your payment within 60 days
• Insurance company does not authorize visits
• Insurance company does not verify your eligibility 
• Treatment exceeds the coverage of your insurance policy
• Insurance does not cover our Services
• Insurance is out of network
• Prescription (Rx), referral or Plan of Care is not provided in timely manner
• Insurance will not cover multiple appointments in one day. 

NETWORK STATUS

Receiving care from providers outside of your insurance plan provider network usually  may result in higher out-of-pocket costs for you. Origin encourages you to contact your insurance plan to confirm that Origin is a provider within your plan’s network before engaging with Services from a Professional.

RETURNED CHECKS

Each returned check will incur a $30 returned check fee and an alternative form of payment will be required for all subsequent payments.

ASSIGNMENT OF INSURANCE BENEFITS

You hereby authorize Origin to furnish information to insurance carriers concerning this treatment and assign all payment for the Services.

WORKERS’ COMPENSATION CLAIMS

If you claim Workers’ Compensation benefits and are subsequently denied such benefits, you may be held responsible for the total amount of charges for Services rendered by a Professional.

FLEXIBLE SPENDING ACCOUNT (FSA) / HEALTH SAVINGS ACCOUNT (HSA)

Origin accepts payments from FSA/HSAs. Payments from FSA/HSAs will be reflected as “unapplied” until the claim has been processed through insurance.

CANCELLATION POLICY - LATE CANCELLATION & NO-SHOWS

Our goal at Origin is to provide every patient with high quality care and attention. It is important that patients try to attend their appointments to achieve their treatment goals. In order to provide this care, we will make our best efforts to accommodate each patient’s schedule and reserve appointment slots accordingly. 

We understand that life happens, and you may need to cancel or reschedule your appointment. In the event that you’re unable to make your scheduled appointment, we do require notice at least 24-hours prior to your appointment. This will allow us to find a different time for you to continue your treatment while also allowing us to provide care to another patient who may be waiting to be scheduled. 

The charge for no-show, cancellation, or for rescheduling an appointment, including first visit are flat fee amounts based on the time of notice: 

• More than 24 hours before your appointment is scheduled to start is $0. This is not considered a Late Cancellation.
• 24-12 hours before your appointment is scheduled to start is $75. This is considered a Late Cancellation.
• Less than 12 hours before your appointment is scheduled to start is $150. This is considered a No Show.
• Showing up to your appointment more than 20 minutes after it was scheduled to start is $150. This may be considered a No Show.
• Failure to arrive at the appointment is $150. This is considered a No Show.

The Cancellation Fees cannot be billed to insurance and will need to be paid directly by the patient prior to receiving additional Services. 

We try to send automated email confirmations and text reminders; but it is your responsibility to track your schedule in order to cancel or reschedule in a timely manner. Missing an appointment due to a missed email or text reminder does not exempt you from Cancellation Fees. We accept notice via phone or email at info@theoriginway.com; we do not accept notice via SMS / text message, individual Provider chat functionality or direct email to individual Providers.

We require all patients to have a credit card on file at their first appointment. Cancellation Fees and all patient balances will be automatically charged. These terms serve as notice of our Cancellation Fees. 

Origin also reserves the right to update this policy periodically without notice. The most current policy will always be made available on our website, at our locations, and upon request. 

‍Annual Platform Fee

The Origin Way charges an annual platform fee (the “Platform Fee”) for access to certain features of the Services. The Platform Fee may be modified by The Origin Way from time to time. Patients currently receiving services from The Origin Way Physical Therapy and related entities may opt out of the Platform Fee as described below, and still be eligible to receive clinical services from The Origin Way.

Fee Description: The Platform Fee covers costs associated with the technological services that enhance your healthcare experience, including but not limited to, appointment scheduling, canceling, rescheduling, access to educational resources and videos, and SMS communications with staff.

The Platform Fee is charged once per year at the time of a new evaluation. Current patients who have opted in will be billed annually on the anniversary of their last payment, subject to the renewal policy below.

• Financial Assistance: Patients who wish to access Origin services but cannot afford to pay the fee may apply for financial assistance, which will waive the Platform Fee upon approval.
• Opt-out: Patients who do not want access to the platform can opt-out by emailing info+optout@theoriginway.com from the time of booking until 24 hours after their first evaluation.

Access to Care Without Platform Fee: Patients opting out of the Platform Fee will have restricted access to certain non-clinical services. They will not be able to book follow-up or new appointments through the digital health platform, and may only be able to communicate with our staff via phone and a general support email, subject to longer response times.

Collection of Platform Fee: The Platform Fee will be collected on the day at booking an initial appointment, or at the patient's initial evaluation.

• New and previously discharged patients can opt in or out of this fee.
• Current patients with Origin scheduled prior to the fee effective date and on a continuous plan of treatment without discharge, will not have a Platform Fee collected until at minimum, January 1, 2026.  See below for effective dates.
• Current patients with Origin scheduled on or past the fee effective date, based on primary clinic, and on a continuous plan of treatment without discharge, who have opted in will be billed annually on the anniversary of their last payment, as long as they remain opted in. See below for effective dates.

Cancellation: The Platform Fee is non-refundable. If a patient cancels their platform access, they may continue to use the services until the end of their then-current membership period, but will not be eligible for a prorated refund. The Platform Fee will automatically stop and will not be billed to patients who have been fully discharged and are current with their Origin accounts. 

Renewal Policy: The Platform Fee will automatically end if a patient is fully discharged and current with their Origin financial account obligations. In all other circumstances, Patients must cancel their platform access before the renewal date to avoid being charged the Platform Fee for the next year. Failure to cancel will result in automatic renewal at the 12 month mark, and they will be charged the Platform Fee using their card on file or other prechosen payment method.

MODIFICATION & TERMINATION

You or Origin may terminate your access to the Services. Origin may also suspend or terminate your access to the Services. If you want to terminate your access to the Services, please contact Origin at info@theoriginway.com and we will complete your request. 

Origin may suspend or terminate your access to the Services for any reason it deems appropriate at any time, including, but not limited to, a belief that your conduct or your use of the Service violates any of these terms or applicable laws, or is otherwise harmful to the interests of Origin or its providers. In addition, Origin also may place limits on, modify, suspend, or terminate your access to the Service generally or in response to a legal or regulatory change. If your access to the Services is terminated, Origin will have no further obligation to provide you with access to the Services, except to the extent that Origin may provide you with access to your health records, or our providers are required to provide you with continuing care.