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.
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.
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.
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.
No, CPAP.com does not accept Medicare assignment and has no relationship with them.
No, CPAP.com does not accept Medicaid and has no relationship with them.
The Date of Service is the date the package ships from our warehouse to you. The Date of Service is referenced on CPAP.com invoices as the Date Shipped.
CPAP.com ships Monday - Friday except during holidays and weather related events.
As an example, if an order is placed on Saturday, March 31st and the parcel ships out on Monday, April 2 the invoice will reflect April 2 as the Date of Service on the claim form and invoice.
As another example, if an order is placed Thursday, September 18th and the parcel ships out on Friday, September 19th then the invoice will reflect September 19th as Date of Service on the claim form and invoice in the Date Shipped field. The Date Placed field on the order will be September 18th but this date will not be used by insurance companies. Here is a picture of this example invoice:
The Date of Service / Date Shipped cannot be changed.
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".
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.
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.
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.