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To fill in the form, indicate with an "X" in the space provided next to the equipment needed. Multiple "X" indications are usually required to specify machine, mask, and tubing. The notes area may be filled in with specific preferences such as "Dispense Resmed Airsense 10 Autoset for Her, do not substitute" and/or "Dispense Resmed Airfit P10, do not substitute".
For helpful information on Dealing with Insurance, visit the wiki [http://www.apneaboard.com/wiki/index.php...6_Medicare [Dealing with Insuranceinsurance & Medicare]]
For more Insurance and Medicare billing codes, visit the wiki [http://www.apneaboard.com/wiki/index.php...ling_Codes ?title=Dealing_with_insurance_%26_Medicare#Insurance_and_Medicare_Billing_Codes Insurance and Medicare Billing Codes (HCPCS)]
A downloadable Word file (.doc) that you can edit and print is available [[Mediahttp://www.apneaboard.com/wiki/images/f/f2/CPAP_Rx.doc|HERE]]
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