Customers report that both Health Insurance Companies, Medicare Reimbursement, Medicaid and State Worker’s Compensation Insurance programs will cover the cost of the Carpal Solution Orthotic Device. Below you will find all the information and forms that you will need to facilitate a timely reimbursement from your insurer. The usual practice for reimbursement with most private health insurers, Medicare, Medicaid and Workers Comp is very similar only the forms are a little different. The procedure is to get a written prescription from your Doctor, Hand Therapist, Chiropractor, Occupational Therapist, Neurologist, Physiatrists, or other appropriate medical professional for a Hand Wrist Orthosis and submit three items:
1- a copy of the written prescription from the medical professional with
2- a copy of the receipt for your purchase of the medical device prescribed, in this case the Carpal Solution Hand Wrist Orthosis.
The prescription generally serves as documentation of the medical professional’s formal diagnosis and professional opinion on the appropriate device to help your condition. The receipt from First Hand Medical will have all of the codes and medical device classifications printed on it that are needed for the insurance clerk to process your claim quickly and without delay.
Most insurers prefer that you to submit a claim form together with the above two items. On this page we provide links to all of the forms and locations that you might need. You can access a printable version of the standard claim form provided by the government and used by most insurance companies, Medicare and Medicaid as follows:
3- The Claim Forms
a- Standard Health Insurance Claim Form-HCFA-1500 for private insurance, you simply fill out this claim form and submit it with a copy of your doctor's prescription and a copy of First Hand Medical's receipt to your private insurance company. You can print this form from your computer with the pdf viewer that comes standard with most computers. We also provide this form on the back of the Thank You page enclosed with each order. You can Click on the link that follows to see an Example of a completed Universal Health Insurance Claim Form for the Carpal Tunnel Solution reimbursement. You do not have to fill out every blank in the form.
b- Medicare or Medicaid Insurance Claim Form cms1490s for carpal tunnel hand brace reimbursement directly to you for the cost of the Carpal Solution and other medical devices and DME supplies based on your coverage. This is a special form designed only for direct reimbursement to the patient. You simply fill out this claim form and submit it with a copy of your doctor's prescription and a copy of First Hand Medical's receipt to the appropriate office as listed on the attached pdf document based on where you live: Medicare and Medicaid Contractor Offices where you send your forms for Direct Reimbursement to You for Carpal Tunnel Orthotics, Hand Braces, Wrist Supports, and Wrist Splints. Just to keep things as simple as possible we have provided an Example Medicare Form in pdf format that you can use as a guide to fill out the Direct to Patient Reimbursement Medicare Form: Example Form for Carpal Tunnel Orthotic, Wrist Brace, Hand Splints, Wrist Supports and Orthosis Devices. To quote one customer after getting complete relief from her CTS and getting reimbursed by Medicare and her supplemental insurance: "It is such a relief to have a reliable all natural Medicare sponsored treatment for Carpal Tunnel."
c- For Workers Comp forms you will want to look on the website for your state, since these programs are administered somewhat differently by each state. The process is the same as listed above and if your assigned physician or occupational therapist prescribes a Hand Wrist Orthosis, you can work with your case worker to obtain the claim forms for your state or use the Standard Claim form provided above and submit it with the medical professionals prescription for a Hand Wrist Orthosis and a copy of your receipt for the Carpal Solution to your case worker or to the state administrator of your workers comp program. You can learn more at your state's workers comp website.
The medical classification used by insurance companies and medical organizations like the American Medical Association (AMA) to describe the Carpal Solution Device is a Hand Wrist Orthosis. This designation appears on the receipt you receive through email with your order for the Carpal Solution Six Week Therapy Pac. For minimally invasive devices in the Orthotic classification all that is required by most insurance companies for reimbursement is a copy of the appropriate prescription, a copy of the receipt documenting that you purchased what the doctor prescribed and sometimes a HCFA-1500 Claim Form. To speed reimbursement it is best to have all three. Sometimes the insurance clerk will fill out the claim form on your behalf, but it can slow the process.
Dr. Morgan stated that, “Insurance companies generally reimburse 90 to 100% of your expenditure upon following this procedure, depending on the type of coverage to which your insurance policy entitles you.
You may want to check with your health insurance provider in advance regarding your coverage.”
As a convenience for medical professionals, patients and health insurers, a summary of the appropriate descriptive insurance codes commonly used follows.
Four Primary Codes are generally required by most health insurance companies for device reimbursements. These include:
1- The Prescribed Product HCPCS Code
2- The Supplier’s EIN Code
3- The Suppliers Assigned NPI Number by the NPPES (National Plan & Provider Enumeration System)
4- The ICD Code (International Classification of Disease)
The Insurance Clerk’s Processing of Reimbursement for the Carpal Solution Orthotic is easy when you have the right codes and right paper work. We are committed to make a somewhat complicated process as simple as possible.
The Codes Needed for the Carpal Solution Therapy Pacs would be as follows:
HCPCS Codes: L3923 or L 3908 Source: WHF Orthosis spreading hand, upper limb: wrist-hand abduction extracted from the Miscellaneous Prosthetics / Orthotics Product Section of Healthcare Common
Procedure Coding Systems (HCPCS) published by Medical Management Institute in 2005.
Provider EIN Code: 0438-13636 Source: First Hand Medical, the Leader in Alternative Carpal Tunnel Treatment
Provider NPI Number: 1326273483 Assigned by the NPPES (National Plan & Provider Enumeration System) unique number for health insurance reimbursement assigned to First Hand Medical
ICD Code: 354.0 - Carpal Tunnel Syndrome Source: International Classification of Disease published by
The Center for Disease Control and Prevention (CDC) US Department of Health and
Human Services – National Center for Health Statistics Hyattsville, MD.
You will receive all the appropriate codes on your online receipt confirming your order form our secure
website which you can print out, also these codes will appear on the email receipt when you put in your email address or give an accurate email to our
customer service agent. If you need a formal receipt our customer service agents can email it to you.
Physicians, Health Insurers and the medical community at large generally agree that it is much better to try well documented conservative treatments and therapies before resorting to surgery - there is no downside. Most insurance companies are eager to reimburse for a non-invasive therapeutic device that works to relieve Carpal Tunnel Symptoms like the Carpal Solution Orthosis, it is a much more cost effective approach and reduces strain on the healthcare system when used in place of surgery, rehab and repeat surgeries a few years down the road.
Insurers are eager to help you successfully treat your condition with a natural orthotic device and help you avoid Carpal Tunnel Surgery. Surgery and rehab can cost the health insurer more than $8,000.00 and up to $15,000.00. So, if your insurer can help you avoid the downtime, hassel, risks, and repeat surgeries, they are eager to do so, because they save too. The Carpal Solution is a win / win therapy that saves the insurer the significant cost of Carpal Tunnel Surgery and Rehabilitation.
Our customer service team is also eager to help you get your reimbursement for this remarkable stretching wrist brace. Please let us know if you have any difficulties or if your insurance company needs a W-9 form. Most of the large insurers have received this form from First Hand Medical, but if you find your insurance company does not have us registered, or needs an updated form, we will be happy to facilitate the rapid registration, so that you and other customers that follow will be reimbursed promptly and without any hassle. Also the relatively new NPI number registration system (2009) assures the insurer that First Hand Medical has been validated by the NPPES (National Plan & Provider Enumeration System).
Thank You for ordering the Carpal Solution! May you enjoy active hands for life!
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