HNS providers must verify eligibility and benefits prior to rendering services by contacting the member’s healthcare plan. When verifying benefits, always clarify that you are verifying chiropractic benefits.
Written documentation indicating that you have verified eligibility and benefits and the information obtained during this phone call must be included in the patient’s health care record.
HNS recommends the use of the HNS Verification of Benefits form which is available on this website under the heading "HNS Forms".
Providers should verify and document:
That the patient’s plan includes covered chiropractic care.
The patient’s insurance coverage is in effect for the planned course of treatment.
The amount of the patient’s deductible, co-payment and/or coinsurance
Maximum number of Chiropractic visits allowed in a calendar or benefit year
Any annual maximum chiropractic plan benefit
If the services the provider plans to provide are covered benefits under the health care plan and if covered when rendered by a chiropractor