Rainbow Medical Supply, Inc.

Rainbow Medical Supply *** *** * *** ** *** Tel###-###-#### Fax ###-###-####
June **, RE: *** *** *** ID#: *** To Whom It May Concern: *** *** is a patient of our since May We provided *** *** with mobility equipment and are servicing him monthly for requested suppliesPatient has coverage under *** *** planWe must follow all *** and plan guidelines in an effort to obtain payment from insuranceWe must have all necessary documentation, including a physician order, which we submit to the plan in an effort to obtain a prior authorization Patient’s mother was interested in obtaining pediatric bed for her son. It was a lengthy process obtaining all the necessary paper work from referring physician. We are working with patient’s plan in an effort of obtaining prior auth, as the item is highly expensive and mother is not able to incur an out of pocket expense in the event of non-payment I understand that patient’s care giver had contacted the office on multiple occasions to obtain status, and was informed that we are working on her order. *** is very anxious, as I understand the importance of receiving this specialty bed, however, we are not able to service without a guarantee of reimbursementWe are working with the plan, in obtaining necessary documents that establishes the medical necessity for this itemAs per patient’s plan, there is no prior authorization required for the item requested. However, we had great difficulties receiving payments for the items provided in the past year, as we were denied the medical necessity. We had requested the plan to review this case and provide documentation, identifying medical necessityPatient was informed of the process and the situation I had discussed with my staff the importance of providing patient with more detailed information moving forward Should you require additional information, please contact me at ###-###-#### Thank you, Sincerely, *** ***/***