Medicare Claims

• On Non-Assignments Medicare reimburses the beneficiary directly.
• You pay up-front for non-assigned claims.

1. We mail you the completed Medicare CMN forms once you have received the product. We cannot send it prior.
2. Lift Chair - we need a copy of your physician's prescription. We then send the CMN to the physician for signature. Once we receive the CMN back from the physician we send you the entire packet so you can sign and mail to Medicare.
3. Walker and Rollator - we do not need a copy of the Rx, but you must have it to submit the claim to Medicare. You will need to include it with the packet when mailed to Medicare.
4. Scooter and Power Wheelchair - We do not require a copy of Rx for scooters and power chairs. We complete our part of the claim form and mail it to you. You are instructed how to attach physician's information.

• Lift Chairs
• Walker and Rollators
• Power Wheelchairs
• Power Scooters
  

• Manual wheelchairs, hospital beds and patient (Hoyer) lifts are Capped Rentals through Medicare. You must find a local dealer/provider that rents equipment. You will be limited to that suppliers product inventory.
  

• Bath products are not covered by Medicare. Coverage is limited to a Bedside Commode for patients that cannot make it to the bathroom by themselves. Shower chairs, stools, and transfer benches are not covered. Tub Lifts and Handicapped Showers are not covered.
  

• Non-Assignment means that you pay for the product up-front.

• When filing on non-assignment, Medicare reimburses the beneficiary directly. You pay the full amount up-front. If you have secondary insurance you may contact them for filing procedures. In most cases Medicare automatically submits the claim to the secondary carrier.

• You must have a Doctor's prescription for the product.  The Rx must be dated before the product is delivered.

• We will forward the completed CMN to you or your physician. Once the doctor completes the CMN and returns it to us we assemble a packet with everything you need to submit your claim.
• You do not need to download the CMN from our website except to review it.
• Want to see the CMN for your product? Sure. Click here to download a CMN forms

• No, Medicare does not give prior approval except for high-end powered wheelchairs. If someone has told you otherwise, make the call to Medicare yourself, 1-800-MEDICARE
• Your physician does not approve you for a product. A physician's written prescription is just one step in the process.
  

•  about 4-6 weeks.
• Some Power products such as Electric Wheelchairs and Scooters may take longer.

• Patient's full legal name, address, phone number.
• Patient's date of birth.
• Patient's Medicare number (including the alpha character after the number).
• Patients height & weight.

• Doctor's Prescription for the product. The prescription should include the patient's diagnosis.
• Physician's name.
• Physician's address.
• Physician's telephone number.
• Physician's fax number.

• FAX or mail the information to us: 469-324-2949

PHC Customer Service #: 866-722-4581

• Medicare Frequently Asked Questions (FAQ)