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SLEEP APNEA DEVICE PREDETERMINATION FORMULAS DO NOT STAPLED NOT WRITE IN THIS Spaceman: PO Box 7000, Vancouver, BCV6B 4E1 | Drop it off: 4250 Canada Way, Burnaby, BC | Fax: 604 4192689 |Toll free
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How to fill out sleep apnea device pre-determination

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How to fill out sleep apnea device pre-determination

01
Obtain the pre-determination form from your healthcare provider or insurance company.
02
Fill out the patient's personal information including name, date of birth, and insurance information.
03
Provide details on the type of sleep apnea device being requested and the reason for the request.
04
Include any supporting documentation such as sleep study results or a prescription from the healthcare provider.
05
Submit the completed form to the insurance company for review and approval.
06
Follow up with the insurance company if there are any questions or additional information needed.

Who needs sleep apnea device pre-determination?

01
Patients who have been diagnosed with sleep apnea and are seeking coverage for a sleep apnea device.
02
Healthcare providers who are prescribing a sleep apnea device for their patients and need approval from the insurance company.
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Sleep apnea device pre-determination is the process of obtaining approval from a health insurance provider before purchasing a sleep apnea device.
Patients or healthcare providers who wish to have a sleep apnea device covered by insurance are required to file the pre-determination.
The pre-determination form must be completed with detailed information about the patient's medical history, sleep study results, and the prescribed sleep apnea device.
The purpose of sleep apnea device pre-determination is to confirm coverage and ensure that the device is medically necessary for the patient.
The pre-determination form typically requires information such as the patient's diagnosis, sleep study results, physician's prescription, and documentation supporting the medical necessity of the device.
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