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CPAP Order: Insurance

Insurance

Purchasing through CPAP.com is often cheaper than your copay and deductible through insurance. CPAP.com is a cash only medical distributor that does not accept insurance assignment, does not have an NPI number, and is not a participating provider with any insurance companies. A pre-populated example insurance form is available for all CPAP.com orders. To view and print the form, log into your CPAP.com account. The pre-populated form may be used to seek reimbursement from your insurance company. CPAP.com is out of network for private insurance companies. Check with your private insurer to see if they will reimburse your purchase. Medicare, Medicaid and other government run healthcare programs will not reimburse CPAP.com purchases.

Insurance FAQs

Why are CPAP.com prices so low?

We do not accept insurance assignment and the savings are passed onto our customers.

Additionally, CPAP.com is a high volume business positioned in a very competitive online CPAP market.

Will my insurance company reimburse my online cash purchase?

Reimbursement is an agreement between you and your insurance company. If you are planning on seeking reimbursement, be sure to check with your insurance company first! CPAP.com is out of network for all insurance plans. In most cases private insurance will consider reimbursing.

CPAP.com is a cash based, high volume, direct to patient business model. We avoid dealing directly with insurance companies and pass the resulting savings onto our customers.

However, we do provide our customers with an insurance compliant, itemized invoice that contains applicable insurance billing code(s) for each item purchased.

Additionally, CPAPtalk.com is a good resource for those with questions about reimbursement as many CPAPtalk.com users regularly purchase from CPAP.com and obtain reimbursement from their private insurance companies.

Do you accept private insurance?

No, our website is a self pay website that does not deal directly with insurance companies. We do provide insurance compliant invoices that allow you to seek reimbursement from your insurance company. Check with your insurance carrier regarding their policy for reimbursement for out of network providers.

Do you accept Medicare?

No, CPAP.com does not accept Medicare assignment and has no relationship with them.

Do you accept Medicaid?

No, CPAP.com does not accept Medicaid and has no relationship with them.

How can I get help from a CPAP Expert?

  • By Live Chat: Click on the Chat now field in the lower right hand corner of the CPAP.com page. If after hours, click Leave a message to enter your question and we will get back in touch with you.
  • By Phone: 1-800-356-5221 (8 AM - 10 PM CST Mon-Fri; 8 AM - 6 PM CST Sat)
  • Email Us: cpap@cpap.com
  • Ask A Question: Question Submission Form
  • By Fax: 1-866-353-2727

Does CPAP.com have an NPI number?

No, CPAP.com does not have an NPI (National Provider Identifier) because we are a self-pay, cash business and do not submit claims to any insurance companies.

What is the Tax ID for CPAP.com?

If you are self filing an insurance claim enter the company name as "US Expediters, Inc." which is our parent company. Use the Tax ID of "760521364".

What Place of Service code is used for a CPAP.com purchase?

If product is shipped out to you from CPAP.com, the Place of Service code used is "12". If you come to the CPAP.com office to pick up an order, use code "17" to indicate the Place of Service.

My insurance company is asking for CPT codes, what are they?

Every medical product or service has a CPT (Current Procedural Terminology) code assigned to it. Government healthcare providers use HCPCS (Healthcare Common Procedure Coding System) which are generally the same as the CPT codes. Frequently the CPT or HCPCS code are referred to a "billing codes".

All insurance information should be verified with your insurance company.

CPAP.com provides the CPT codes for every product sold in two ways.

  1. Order Receipt: Each line item on the receipt or invoice notes the Billing Code.
  2. Pre-populated Insurance Form: Available through your CPAP.com account for each order placed.

What are the CPAP, BiPAP and Sleep Apnea related CPT or billing codes?

  • EO601 RR is CPAP Rental
  • E0601 NU is CPAP Purchase
  • A7034 is CPAP Mask
  • A7032 is CPAP Nasal mask cushion
  • A7033 is CPAP Nasal pillows
  • A7030 is CPAP Full face mask
  • A7031 is CPAP Full face mask cushion
  • A7044 is CPAP Oral interface
  • A7027 is CPAP Hybrid mask
  • A7028 is CPAP Hybrid mask cushion
  • A7029 is CPAP Hybrid mask nasal pillow
  • A7046 is CPAP Humidifier chamber
  • A7037 is CPAP Tubing, long and short hoses
  • A4604 is CPAP Heated tubing
  • A7038 is CPAP Disposable filter
  • A7039 is CPAP Gross particle (foam) filter
  • A7035 is CPAP Headgear
  • A7036 is CPAP Chinstrap
  • E0561 NU is CPAP Passover humidifier
  • E0562 NU is CPAP Heated humidifier
  • E0470 RR is BiPAP Rental
  • E0470 NU is BiPAP Purchase
  • E0471 RR is BiPAP-ST Rental
  • E0471 NU is BiPAP-ST Purchase

Other CPAP items are listed under E1399, which is miscellaneous.