How To Bill Your Insurance
As ApneaMed does not accept health insurance, many of our customers have asked how they can go about submitting a claim to their insurance company for reimbursement for sleep apnea supplies purchased from ApneaMed.
To help you bill your insurance for the cost of your obstructive sleep apnea equipment purchases, we have provided some general information on how you can go about making a successful insurance claim. However, it would be best to review our breakdown of insurance vs no insurance first to see how working with insurance impacts overall cost as well as the timeframe of treatment.
General Sleep Apnea Equipment Insurance Claim Instructions
Before you begin your sleep apnea equipment claim process, please note that ApneaMed is only able to provide you with a general overview of the insurance claim process.
Depending on your insurance company, the process can vary, so be sure to consult with your insurance provider that these are the steps you need to follow to make a successful claim.
Contact Your Insurance Company
As you start the claim process, you will want to start by contacting your insurance company’s customer service and asking if you are allowed to submit a claim on your own behalf.
Not all insurance providers allow people to bill them for out-of-pocket medical purchases, so it would be good to know that prior to filling out any paperwork.
Inquire About Needed Claim Forms
As you talk to your insurance customer service representative, be sure to ask if there are any particular claim forms you will need to submit. If the company does have a particular form, have them email or fax it to you while you are still on the phone with them. That way, you can make sure you receive the forms you need.
Some insurance providers use a generic claim form called the Health Insurance Claim Form, which you can download here.
Fill Out Insurance Form With Billing Codes and Info
Fill out the insurance form required by your providers. You will need billing code information as well as other insurance codes so that your insurance providers can process your claim. We will have the Healthcare Common Procedure Coding System (HCPCS) information you need in the section below called “Insurance Billing Codes For Sleep Apnea Equipment”.
Attach ApneaMed AutoPAP Invoice
To prove that you have purchased qualifying sleep apnea equipment, attach a copy of your ApneaMed invoice. You will also need the invoice to know what HCPCS billing codes you will need to fill out, so be sure to keep the original invoice handy.
Submit Claim Information
Submit your required claim information. Your insurance company should have a specific method of submission, whether mail, fax, or email.
From there, you will have to wait as your claim is processed. Most companies take between 30-60 days. Your insurance provider should be able to give you a relatively accurate claim turnaround time.
Insurance Billing Codes For Sleep Apnea Equipment
To make it easier for you to fill out your insurance claim information, ApneaMed has gathered the appropriate HCPCS billing codes you will need to fill out your claim paperwork. Be sure to use the correct codes or your claim may be rejected and you will need to start the process over again.
Also, remember that you will need to list the codes for each item as it appears on your invoice from ApneaMed.
E0601 - APAP machine purchase
A7038 - CPAP disposable filter
A7034 - CPAP nasal mask
A7030 - CPAP full face mask
A7037 - CPAP tubing, long and short hoses
Other Insurance Information You Need For Insurance Billing
Along with the purchase information, your insurance providers will also likely require you to provide the code that is associated with your official medical diagnosis.
If you used the ApneaMed home sleep test, our sleep physician will have provided you with this code with your sleep apnea test results. Most likely, if the test results determined you have obstructive sleep apnea, then the HCPCS is GA 47.33.
Also, it is possible that your insurance providers will want information concerning ApneaMed as your sleep apnea equipment providers. Generally, when information about ApneaMed is needed to process a claim, this is what insurance companies are looking for:
ApneaMed
1060 S Main St Suite 301A,
St. George, UT 84770
Phone: 855-276-3263
Fax: 855-APNEAMED
Tax ID Number: 81-3758447
As you work with your insurance provider to claim your sleep apnea equipment, know that you can always count on ApneaMed to help you with all of your future sleep apnea needs.