General | Medicare | Private Insurance
Imagine receiving a bill in the mail for $2,000.00 because we had to estimate what your insurer was going to pay! Getting the right documentation up front helps to ensure that the claim pays correctly. If DynaVox Technologies is not a participating provider with your insurer a written approval from your insurer that provides the following is required: the dates of service that have been authorized, the equipment that has been authorized, the dollar amount that will be allowed on the claim, the codes that they would like us to use on the claim, and the billing address.
The shipping of your new device will largely depend on whether the authorization that your insurer sent you is compliant with our authorization guidelines. We will also need to collect any co-payments or deductibles before your device is shipped to you. A signed release of information form is also required.
Call your insurance company and speak to someone in member services to obtain this information in writing then send a copy to DynaVox. Sometimes a number of phone calls are required by both the member and DynaVox Systems to obtain the needed information. Don't give up. It may also help to have your employer's human resource department call as well.
We will request authorization from both insurers when we receive your funding request. Your funding coordinator will follow-up with the insurance companies to determine how the benefits will be coordinated. A signed release of information form from each policy holder is also required.
Maybe. However, most insurers recognize that this is specialized equipment that can only by provided by DynaVox Technologies and a select few vendors. For this reason they will often grant an exception allowing the member to use DynaVox as a provider at the in network coverage level. Only a handful of funding requests have resulted in the use of an outside vendor at a higher cost for the insurance company.
Yes, as long as we obtained a prior authorization from them first. Please refer to the Medicaid portion of the site for more details.
The signed release of information form allows DynaVox Technologies to exchange the required benefit, authorization and billing information with the insurance company that is necessary to process the funding for the equipment. Without this signed form DynaVox Technologies would not be permitted to collect or release any of your insurance information. The only time you would not be asked to sign the release of information form would be if you were pre-paying in full by check or credit card for your order and our funding department were not processing the funding through your insurance company for you.
Insurers use procedure codes or HCPC Codes for all medical services. If your insurer informs you that speech devices are not covered because they could not find the code in their listing, we may be able to utilize a miscellaneous code. Your benefit booklet will give a better indication of whether they will cover the device.
In general, insurance companies will accept a request from a beneficiary. However, it is best to use your funding coordinator, as your funding coordinator is familiar with the authorization process and coding guidelines.
Most insurers will not cover warranties. Warranties are highly recommended, as they will alleviate a long repair funding process of 2 months or more. If it is possible to pay for a warranty out of pocket, it is worthwhile.
Yes. For most HMO plans, the Primary Care Physician's office will need to fax us a copy of the referral and assist us in submitting to the insurer or the IPA.
Without a written approval, we can’t be sure that your equipment is covered. For this reason, we insist that the insurance company provide us with a pre-determination of benefits.
We can provide your insurer with an approval form if they do not want to generate a letter on their letterhead. Either the completed approval form or a detailed authorization letter must be provided for us to ship your equipment.
Yes. However, please keep in mind that we cannot guarantee that you will be reimbursed without an approval on file. If you choose to submit to your insurer yourself, please remember to fax or e-mail a copy of the documentation to DynaVox Technolgies.
HAVE YOU COMPLETED YOUR PAPERWORK? Simply fax your completed paperwork to 412-381-5241 or toll free 866-641-3866 and your dedicated Funding Coordinator will assist you.
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