Navigating the Insurance Reimbursement Process

Because each insurance company and each insurance plan is different you need to start the process by calling the 800# on the back of your insurance card. Be aware that depending on the person you get and their knowledge you may get a different response. If you don't necessarily get the response you want the first time call back in a few hours and talk to a different representative. Some of them will be more helpful and creative than others. Don't give up until they all give you the same answer. Before you call have your insurance card with the plan number and the diagnostic codes for the products you are interested in purchasing in front of you.

Call the customer service number on the back of your insurance card. Tell them that your baby has been diagnosed with reflux and you are inquiring to find out if they cover some infant positioning products that your physician or therapist has recommended. Give them the url (http://www.pollywogbaby.com/cat--Infant-Positioning-Products--Positioners.html) and the particular products you are interested in.

Here are the diagnostic codes by product:

• Pollywog Feeding Wedge | 530.81;E1399
• Pollywog Changing Station Incliner | 530.81;E1399
• Tucker Crib Sling | 530.81; E0621
• Tucker Wedge with Sling | 530.81;E1399
• Tucker Slings for Wedge | 530.81; E0621
• Acid Reflux Pillow | 530.81;E1399
• Comfy Lift Bed | 530.31;E1399
• RESQ Wedge | 530.31;E1399

They may also require a procedure code which you will get from your physician or therapist. Most insurance companies will have you purchase the items and then download a claim form from their website to submit a claim for reimbursement. Ask them to walk you through the process so you have no surprises or delays in receiving reimbursement. Our tax ID number is 20-0666520.

If your process turns out to be different I would love to hear from you so I can update this article and help more parents!

Feel free to email annette@pollywogbaby.com or phone 866-332-0958 (only between 8 a.m. and 5 p.m. Pacific Time please!) with any additional questions and I'll try my best to help you.

If the insurance reimbursement process is turning out to be too time-consuming for you our resident billing specialist, Barbara Fernandez Bussa can do it for you. Barbara has been a medical billing specialist for six years and can be reached by email or phone (305-494-6449). Minor billing charges apply only if you receive reimbursement. All billing charges and payments for them go directly to Barbara, I recommend her services purely as a benefit to you and make no money from so doing.

Wishing you hugs,

Does your baby cry every time you try to put him down?

     
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