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Fields in Motion will bill your private, auto, or workers compensation insurance carrier.

Billing services are a courtesy provided for all major medical plans. Fields in Motion does not bill secondary insurance companies or third party carriers. As a courtesy, we will bill supplemental plans for all Medicare patients.

Billing your insurance company is a courtesy provided by Fields in Motion. We understand that special circumstances may occur. Prior to your first appointment, please contact our billing department to discuss these or any other insurance issues.

Anthem Blue Cross
Blue Cross Prudent Buy
Blue Shield
Great West

We may not be an in network provider for your insurance company, but that does not mean that your insurance company will not pay for treatment at Fields in Motion. The coverage will be different for an out-of-network provider. Please call your insurance company or our office to find out your specific coverage.

Prescription Form

Patient Info Form

Medical History Form


Financial Statment Form