Pediatriceshop is a contracted medical equipment provider for many insurance companies. Our experienced staff will assist you in completing the process to obtain reimbursement from your insurance company for any eligible item(s).
We can work with customers on medical insurance billing only if the customer resides in our service area. Please review our contact us page to view our locations and service area details.
In most cases, Pediatriceshop can obtain a pre-authorization from your insurance company so you know your level of reimbursement before you pay for your order. Some insurance carriers will actually guarantee payment directly to Pediatriceshop, eliminating any up-front payments from you, except possibly your co-pay.
Pedicatriceshop is only able to process claims for customers who do not have an HMO as their primary coverage.
If you place on order online, and want Pediatriceshop to bill your insurance company, you will receive a call from our customer service staff to discuss your specific circumstances and gather information regarding eligibility. If you place the order with our customer service team over the phone (1-866-563-6812), the customer service staff will take your order, then transfer you to our billing department to begin the billing process.
Please have the following information handy when you receive a call from us:
- Insurance Company Name
- Insured's Name and ID# or Subscriber#
- Group#
- Date of Birth (both the insured and the patient, if different)
- Insurance Company Member Services Phone #
- Insurance Company Claims Mailing Address
Once we have this information, the insurance process will involve the following steps:
- HIPAA Release Form. Pediatriceshop will email, fax, or mail you a HIPAA Release Form, which gives your physician and your insurance carrier permission to release relevant medical information to Pediatriceshop so that we can successfully submit your claim. Please respond to this form ASAP
- Pediatriceshop will contact your insurance company to determine eligibility and coverage. Our billing specialists will then contact you with the details, including your total out-of-pocket cost
- You will need to send the prescription from your physician for all eligible equipment. This prescription must be received by Pediatriceshop before your medical equipment is delivered
- After all information is received Pediatriceshop will file your claim with your insurance carrier within 7 days
- Your insurance carrier will process your claim and generally reimburse you within 45-90 days
Feel free to call us
Please do not hesitate to call us at 1-866-563-6812 if you have any questions regarding your insurance billing. Our experienced customer service staff will be happy to assist you.
