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Medicare Claims |
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We can assist you in filing your Medicare Claim. We'll help you get everything in order for proper filing.
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- On Non-Assignments Medicare reimburses the beneficiary directly.
- You pay up-front for non-assigned claims.
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What products can you file Medicare non-assigned claims for when purchased? |
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- Lift Chairs
- Walker and Rollators
- Power Wheelchairs
- Power Scooters
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What about Manual Wheelchairs Hospital Beds and Patient Lifts? |
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- 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.
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What about Bath products? |
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- 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.
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Non-Assignment - How you file Medicare claims: |
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Non-Assignment means that you pay for the product up-front.
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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. |
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How to start the claim process: |
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- You must have a Doctor's prescription for the product. We cannot do anything until we have the Rx. The Rx must be dated before the product is delivered.
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Do you need a Certificate of Medical Necessity form (CMN) ? |
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- We will forward the completed CMN to your physician. Once the doctor completely fills out 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
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Can you get pre-qualification with Medicare so you know if you will qualify for reimbursement? |
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- 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
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How long does it take Medicare to reimburse? |
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- Depends on which product. Some take a relatively short time while others take longer.
- Walkers, Rollators, and Lift Chairs are straightforward products that reimburse in a relatively short time (4-9 weeks).
- Some Power products such as Electric Wheelchairs and Scooters generally take longer.
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What information do we need to get started? |
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Patient information: |
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- 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.
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Read PHC's Privacy Notice and HIPAA Compliance: |
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Physician information: |
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- 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.
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How do you get the information to us? |
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- FAX or mail the information to us: 469-324-2949
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Our mailing address: |
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PHC
attn: Medicare Processing
35 Soaring Bird Court
Las VEgas, NV 89135
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Medicare phone #: 702-723-4221
Medicare fax: 469-324-2949
PHC Customer Service #: 866-722-4581 |
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Still have questions? |
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