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Appendix A: Orthopedic Footwear Submission Checklist Revised May 2018 Employee/Member Name:___Patient Name:___ Policy/Plan Number:___ Certificate/ID Number:___ Patient DOB:___ Information must be
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What is appendix a orthopaedic footwear?
Appendix A orthopaedic footwear refers to a specific classification of specialized footwear designed to provide support and comfort for patients with various foot and lower limb conditions.
Who is required to file appendix a orthopaedic footwear?
Healthcare providers, including podiatrists and orthopaedic specialists, who prescribe orthopaedic footwear for patients are required to file Appendix A.
How to fill out appendix a orthopaedic footwear?
To fill out Appendix A, providers must complete the designated sections with patient information, diagnosis, prescription details, and certification of medical necessity.
What is the purpose of appendix a orthopaedic footwear?
The purpose of Appendix A orthopaedic footwear is to ensure that patients receive appropriate footwear that meets their medical needs, and to facilitate proper reimbursement processes.
What information must be reported on appendix a orthopaedic footwear?
The information that must be reported includes patient demographics, diagnosis codes, prescription details, provider information, and justification for the footwear.
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