Chiropractic Services

Prior Authorization Requirements
WSI allows a “window period” for treatment of each new claim. If the patient has treated for an injury and changes chiropractors, they are not given a new window period.

• The window period allows 12 visits or 90 days of care whichever comes first
• Any care needing to be extended beyond this parameter requires prior authorization
• Prior Authorization can be obtained by contacting Orthopedic Chiropractic Consultants at 1-877-211-1906.
• More information is under the Orthopedic Chiropractic Consultants link
• Physician referral does not waive the prior authorization requirements
• Prior authorization is done by peer review
• WSI limits modalities to two (2) per visit, however they must be requested if they are part of the treatment
• Hot & cold packs are considered a bundled charge and are not separately reimbursed