Zzoma Handout

Posted on: August 1st, 2016 by admin

Zzoma Handout

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Navigating the Insurance Reimbursement Process

Zzoma is an out-of-pocket expense that you may be refunded for by your private healthcare insurer. Refund approval and percentage depends on your policy.

If you'd like to receive pre-approval we suggest for you to start by calling the 800 # on the back of your insurance card. Ask them their policy on the equipment code E1399 as a medical necessity. Explain to the customer care representative that you have been diagnosed with obstructive sleep apnea and have been prescribed Zzoma as a medical device. Let them know that you do have a medical necessity letter (click for a sample).

Most insurance companies will have you purchase items and then download a claim form from their website. We suggest submitting a copy of your prescription, medical necessity letter and receipt with your form. We are not given permission to access your health coverage so please be sure to write your own address on the forms for correspondence.

The following information is a collection of the details you may need for your refund.

Manufacturer/Servicing Provider Name: Sleep Specialists, LLC (DBA 2Z Medical)
TAX ID: 20-5914787
Physical Address: 45 E City Ave PMB 325 Bala Cynwyd PA 19004
Telephone: 1.877.799.9662
Fax: 1.267.222.1000
Active HCPCS Code/Equipment Code & Description: E1399 Durable Medical Equipment Misc Code
Production Name: Zzoma Positional Device
Regulatory Class: II (prescription only)
FDA Clearance 510(k): K100160
ICD-9 Diagnosis Code: 327.23 or Obstructive Sleep Apnea

If your insurance company does not cover for Zzoma, it may be covered under your pre-tax cafeteria plan (IRS Section 125).

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Navigating the Insurance Reimbursement Process

Zzoma is an out-of-pocket expense that you may be refunded for by your private healthcare insurer. Refund approval and percentage depends on your policy.

If you'd like to receive pre-approval we suggest for you to start by calling the 800 # on the back of your insurance card. Ask them their policy on the equipment code E1399 as a medical necessity. Explain to the customer care representative that you have been diagnosed with obstructive sleep apnea and have been prescribed Zzoma as a medical device. Let them know that you do have a medical necessity letter (click for a sample).

Most insurance companies will have you purchase items and then download a claim form from their website. We suggest submitting a copy of your prescription, medical necessity letter and receipt with your form. We are not given permission to access your health coverage so please be sure to write your own address on the forms for correspondence.

The following information is a collection of the details you may need for your refund.

Manufacturer/Servicing Provider Name: Sleep Specialists, LLC (DBA 2Z Medical)
TAX ID: 20-5914787
Physical Address: 45 E City Ave PMB 325 Bala Cynwyd PA 19004
Telephone: 1.877.799.9662
Fax: 1.267.222.1000
Active HCPCS Code/Equipment Code & Description: E1399 Durable Medical Equipment Misc Code
Production Name: Zzoma Positional Device
Regulatory Class: II (prescription only)
FDA Clearance 510(k): K100160
ICD-9 Diagnosis Code: 327.23 or Obstructive Sleep Apnea

If your insurance company does not cover for Zzoma, it may be covered under your pre-tax cafeteria plan (IRS Section 125).

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Zzoma Application Instructions:

  • Place the device on your back and bring the straps around so they are in front of you.
  • Position the device so the Velcro straps are at the level of your chest.
  • Adjust the Velcro straps for fit and comfort and secure together.
  • Lie on either side in a comfortable position and go to sleep.

Warning:
The user of this pillow should consult with their physician if the following symptoms continue:

  • Frequent excessive daytime sleepiness
  • Periods of not breathing, as observed by bed partners
  • Awakening short of breath, choking or gagging
  • Heavy snoring
Contraindictions:
  • A history of heart diseases
  • Being substantially overweight
  • Not for use by infants or children
  • Do not use if pain or discomfort results

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Cleaning Instructions:

  • Remove the foam wedge from the nylon pack.
  • Hand wash the nylon pack in cold water with a mild detergent and allow to air dry.
  • Once dry, reinsert foam wedge and seal the Velcro closure.
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