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PHYSICIANS & HEALTHCARE PROFESSIONALS

Get the Reimbursement
Help You Need!

Urgent® PC
Tel: 800.574.8559
urgentpc.devicecoding.com

Macroplastique®
Tel: 866.258.2182

General Questions
Uroplasty Reimbursement Solutions Group
5420 Feltl Road
Minnetonka, MN 55343
Tel: 866.258.2182
Fax: 866.344.0219
reimbursement@uroplasty.com

Disclaimer: Uroplasty assembled this coding and payment information as a convenient reference source. It is subject to change without notice as a result of changes in reimbursement laws, regulations and policies. This content is informational only and does not address all possible situations. No guarantee or promise of coverage or payment is represented herein. Providers assume full responsibility for accurate coding and reimbursement decisions and actions. All procedures and services should be accurately documented in the patient’s medical record. Please consult your payer organization if you have questions regarding its specific reimbursement guidelines.

Uroplasty Product Reimbursement

Coverage Denials

The prior authorization request may be denied because the payer does not have enough information needed to make a favorable coverage decision. Their letter of denial may give one of the following reasons:

  • The therapy is investigational/experimental
  • The therapy is not medically necessary

If you receive a coverage denial for a patient’s treatments, please contact the Uroplasty Reimbursement Solutions Group at 866-258-2182 for guidance in the appeal process.

 

 

 

 

0540033A 6/08

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