Insurance/Patient Forms

P. (405) 609-3600

Valir Health accepts most forms of health insurance and will submit patient claims. If the patient’s insurance plan is not listed below, please call us as we are adding new plans regularly. Valir also works with plans that are out of network.

Because your insurance plan is a contract between the patient and the patient’s insurance company, it is the patient’s responsibility to remit payment for any services not covered by his or her carrier.

Health Insurance Plan Contracts:

  • Beech Street
  • Blue Cross Blue Shield
  • Bluelincs HMO
  • Cigna
  • CompChoice
  • CorVel
  • Coventry
  • Department of Corrections
  • First Health
  • Health Choice
  • Humana / Choice Care
  • Great West Healthcare
  • Mail Handlers
  • Medicaid
  • Medicare
  • MultiPlan / PHCS
  • OSMA / PLICO
  • Pacificare / Secure Horizons
  • PPO Oklahoma
  • PPO USA / GEHA Preferred Community Choice
  • Private Healthcare Systems (PHCS)
  • Tricare / Champus
  • United Healthcare
  • Workers’ Compensation

Valir Physical Therapy files claims with all insurance carriers.  Valir’s staff will file patient’s claims and verify insurance benefits, co-pays, and deductible information. Valir Physical Therapy accepts cash, check, Visa, MasterCard, and money orders.

Outpatient Customer Service Line
For questions related to billing or patient accounts, please call:

Phone: 405.609.3637
Toll-free: 877.868.1282

Forms
New Patient Registration | Download
Consent for Care and Treatment | Download
Medicare Secondary Questionnaire | Download
Notice of Exclusion from Medicare Benefits | Download

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