Insurance Billing at Spinlife

SpinLife and Insurance Billing
Thanks for shopping at SpinLife, a full service medical equipment supplier. SpinLife is a contracted medical equipment provider for many insurance companies, and we are happy to assist you in obtaining reimbursement from your insurance company for any eligible item(s).

Coverage terms are different for each insurance company, and SpinLife will check with your insurance company to see if the item you need will be covered. (see What to Expect). For many insurance companies, SpinLife will be an "out of network" provider. However, SpinLife prices are so much lower than the "in network" providers that it is almost always less expensive for you to work with SpinLife.

In most cases, SpinLife can obtain a pre-authorization from your insurance company so you know your level of reimbursement before you pay for you order. Some insurance carriers will actually guarantee payment directly to SpinLife, eliminating any up-front payments from you, except possibly your co-pay.

SpinLife is only able to process claims for customers who do not have an HMO as their primary coverage. SpinLife will verify your coverage and eligibility before processing your order.

What to expect
If you place on order online, and indicate you would like SpinLife to bill your insurance company, you will receive a call from a SpinLife customer service team member to discuss your specific circumstances and gather information regarding eligibility. If you place the order with our customer service team over the phone (1-800-850-0335) , the customer service representative will take your order, then transfer you to our billing department to begin the billing process. Either way, the process involves these simple steps:

Step 1. SpinLife will collect the following information:

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

Step 2. HIPAA Release Form. SpinLife 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 SpinLife so that we can successfully submit your claim. Please respond to this form ASAP.

Step 3. SpinLife 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.

Step 4. You will need to send the prescription from your physician for all eligible equipment. This prescription must be received by SpinLife before your medical equipment is delivered.

Step 5. After all information is received SpinLife will file your claim with your insurance carrier within 7 days.

Step 6. Your insurance carrier will process your claim and generally reimburse you within 45-90 days.