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Bill Your Insurance for CPAP


Want to submit your purchase to your insurance provider?

1800CPAP.com provides you with the HCPCS codes associated with the products we offer. We also will provide you with the Insurance Out of Network Claim Forms you will need when submitting your claim. We understand filling out confusing paperwork is frustrating and knowing the HCPCS codes, which insurance claim form to use and what diagnosis codes to use will expedite the process. Not sure which HCPC Code, Diagnosis Code or which claim form to use? Just email us at support@1800CPAP.com.

Below is a step by step process on how to submit your claim to the insurance!

Please Note: These HCPCS codes are provided as a reference guide only, always verify with your health insurance provider to guarantee accuracy. Health insurance providers may have different policies and procedures for accepting successful claims. Please contact your health insurance provider directly (phone number is usually located on back of your insurance card) to determine which procedures you should follow to guarantee a successful claim.

Step One: Find your Insurance's Out of Network Claim Form!

The first thing you want to do is find your insurance companies out-of-network claim form. Once you have located it below, you will need to print the form and complete all fields. If you do not complete the claim in its entirety, you risk a delay in getting your claim processed by your insurance company. After you have located and printed your claim form, move on to Step 2.

  • Anthem- OH, KY, IN, MO or WI Out-of-Network Health Insurance Claim Form
  • Anthem- Colorado or Nevada Out-of-Network Health Insurance Claim Form
  • Anthem- Virginia Out-of-Network Health Insurance Claim Form
  • Anthem- New HampshireOut-of-Network Health Insurance Claim Form
  • Anthem- Connecticut or Maine Out-of-Network Health Insurance Claim Form
  • Humana Out-of-Network Health Insurance Claim Form
  • Cigna Out-of-Network Health Insurance Claim Form
  • United HealthCare Out-of-Network Health Insurance Claim Form
  • Aetna Out-of-Network Health Insurance Claim Form

Step Two: Completion of your Insurance's Out of Network Claim Form!

This part is fairly self explanatory! You will need to complete all of your personal demographics (Name, Address, Date of Birth, Member ID, etc.) and this pertains to all claim forms. The areas you may need help with regarding our information and others are as follows:

  • Provider's Name
  • Provider's Tax ID
  • Provider's Address
  • Place of Service Code
  • Diagnosis Code
  • Date of Service
  • Description of Goods
  • Quantity of Goods
  • Charges of Goods; per item and total
  • Procedure Code or HCPCS Codes

Description and answers for the above key areas that need filled in on your form:

  • Provider's Name: Ohio Sleep Awareness, LLC 1800CPAP.com is the dba for the Legal Entity Ohio Sleep Awareness!
  • Provider's Tax ID: 26-0504270
  • Provider's Address: 2908 W US 22-3 Maineville, OH 45039
  • Place of Service Name or Code: Name would be HOME and Code would either be 12 or otherwise defined on your claim form.
  • Diagnosis Code: 327.23

Updated Codes for 2016 are G47.33 Obstructive Sleep Apnea | G47.31 Central Sleep Apnea

  • Date of Service: Date you purchased the goods/ Invoice date
  • Description of Goods: You will have to line item each part you received. i.e. Mask with Headgear would be line #1: Mask and line #2 Headgear
  • Quantity of Goods: Quantity of each line item
  • Charges of Goods; per item and total: Paid amount for each line item; Total will be all line items totalled at the bottom of your form
  • Procedure Code or HCPCS Codes: These codes can be found by using your Invoice and the list of HCPCS Codes listed below with definitions. You will want to make sure you refer to both your Invoice as well as the list we provided you below!

CPAP, Bi-Level, Bi-PAP MACHINE INSURANCE (HCPCS) CODES


E0601 - Continuous airway pressure (CPAP/APAP) device

E0470 - Respiratory assist device, Bi-Level pressure (Bi-PAP) capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)

E0471 - Respiratory assist device, Bi-Level pressure (Bi-PAP) capability, with backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)

E0472 - Respiratory assist device, Bi-Level pressure (Bi-PAP) capability,with backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pressure device)

E0561 - Humidifier, non-heated, used with positive airway pressure (CPAP/Bi-PAP/APAP) device

E0562 - Humidifier, heated, used with positive airway pressure (CPAP/Bi-PAP/APAP) device

CPAP, Bi-Level, Bi-PAP MASK INSURANCE (HCPCS) CODES

A7030 - Full Face Mask used with Positive Airway Pressure (CPAP/Bi-PAP/APAP) device

A7034 - Nasal interface (mask or cannula type) used with positive airway pressure (CPAP/Bi-PAP/APAP) device , with or without headgear

A7044- Oral interface used with positive airway pressure (CPAP/Bi-PAP/APAP) device

K0553 - Combination oral/nasal mask, used with continuous positive airway pressure (CPAP/Bi-PAP/APAP) device

NEW CODE Alert: A4604 Tubing with integrated heated element for use with positive airway pressure device

CPAP, Bi-Level, Bi-PAP PART and ACCESSORY INSURANCE (HCPCS) CODES

A7032 - Replacement Cushion for Nasal or Full Face Mask

A7033 - Replacement Pillows for Nasal Mask

A7035 - Headgear used with positive airway pressure device

A7036 - Chinstrap used with positive airway pressure device

A7037 - Tubing used with positive airway pressure device

A7038 - Filter, disposable, used with positive airway pressure device

A7039 - Filter, non-disposable (reusable), used with positive airway pressure device

A7045 - Exhalation port with or without swivel used with accessories for positive airway pressure devices

A7046 - Water chamber for humidifier, used with positive airway pressure device

E1399 - Miscellaneous Durable Medical Equipment Items, Components and Accessories

K0554 - Oral cushion for combination oral/nasal mask

K0555 - Nasal pillows for combination oral/nasal mask

LIGHT THERAPY DEVICE INSURANCE (HCPCS) CODES

E0203 - Light Therapy Device

Step Three: Signing and Mailing your Insurance's Out of Network Claim Form!

Review your form for accuracy because if there is anything that is not accurate or correct, you will want to fix it prior to mailing your form. Remember that everything must be accurate in order for you to have a chance for your insurance company to accept your Out-of-Network claim! Once you have reviewed the claim and are comfortable with the information you have filled out, Sign and date the form.

MAKE SURE YOU INCLUDE YOUR INVOICE FROM 1800CPAP.COM WHEN SUBMITTING YOUR CLAIM FORM

Mailing your form will now take place and most forms will have the address on the form. Here is address' for the companies just in case:

  • Anthem- OH, KY, IN, MO or WI: Anthem Blue Cross and Blue Shield PO Box 105187 Atlanta, GA 30348
  • Anthem- Colorado or Nevada: Anthem Blue Cross and Blue Shield PO Box 5747 Denver, CO 80217-5747
  • Antem- Virginia: Anthem Blue Cross and Blue Shield PO Box 2740 Richmond, VA 23279-7401
  • Anthem- New Hampshire: Anthem Blue Cross and Blue Shield PO Box 533 North Haven, CT 06473-0533
  • Anthem- Maine or Connecticut: Anthem Blue Cross and Blue Shield PO Box 533 North Haven, CT 06473
  • Humana: Mail to: Address on the back of your insurance card!
  • Cigna: Mail to: Cigna Behavioral Health Attn: Claims Service Dept. PO Box 46270 Eden Prairie, MN 55344-6270
  • United HealthCare:Mail to: United Healthcare of the River Valley PO Box 5230 Kingston, NY 12402-5230
  • Aetna: Mail to: Address on the back of your insurance card!