Rainbow Medical Supply

Rainbow Medical Supply [redacted]                                   ...

[redacted] Tel. ###-###-#### Fax  ###-###-####     June **, 2015   RE: [redacted] ID#: [redacted]   To Whom It May Concern:   [redacted] is a patient of our since May 2014. We provided [redacted] with mobility equipment and are servicing him monthly for requested supplies. Patient has coverage under [redacted] plan. We must follow all [redacted] and plan guidelines in an effort to obtain payment from insurance. We 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.  [redacted] is very anxious, as I understand the importance of receiving this specialty bed, however, we are not able to service without a guarantee of reimbursement. We are working with the plan, in obtaining necessary documents that establishes the medical necessity for this item. As 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 necessity. Patient 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, [redacted]

Review: My handicap son [redacted] was approved through medical insurance for a special made bed due to him having [redacted] and [redacted]. I spoke will the staff and the woman on his case [redacted] will not take any calls or tell me the status of my sons bed. I have been calling for about a month with no shipment date or anything. Every time I call the workers lie and say [redacted] is in a meeting, left for the day or is busy on the phone. I called pleading for them to send my sons bed due to him falling out of his bed and injuring himself but still no call back. Please help my son really needs his bedDesired Settlement: Delivery and following up on my sons order. I need to confirm color size and bed information. Expedited order due to special needs

Business

Response:

Rainbow Medical Supply [redacted] Tel. ###-###-#### Fax ###-###-#### June **, 2015 RE: [redacted] ID#: [redacted] To Whom It May Concern: [redacted] is a patient of our since May 2014. We provided [redacted] with mobility equipment and are servicing him monthly for requested supplies. Patient has coverage under [redacted] plan. We must follow all [redacted] and plan guidelines in an effort to obtain payment from insurance. We 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. [redacted] is very anxious, as I understand the importance of receiving this specialty bed, however, we are not able to service without a guarantee of reimbursement. We are working with the plan, in obtaining necessary documents that establishes the medical necessity for this item. As 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 necessity. Patient 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, [redacted]