ORDER A BONE GROWTH STIMULATOR

ORDERING A BONE STIMULATOR FOR SPINE PATIENTS

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PATIENTS THAT QUALIFY

 

+ Multi-Level Fusion (3 or more vertebra involved, ie; L4-S1)

+ Pseudoarthrosis (At least 9 months out from previous surgery)

+ Revision Spine Fusion 

+ Single-Level Fusion with Risk Factors (Non-Medicare Patients Only)

REQUIRED DOCUMENTS TO PROCESS AUTHORIZATION

 

+ Prescription for Bone Stimulator (for RX Template Click Here)

+ Patient Demographics (contact info, insurance policy info)

+ Most Recent Clinic Note (must be within prior 6 months)

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3 OPTIONS TO SUBMIT 

 

+ Click Here to Upload

+ Fax to 602-391-2622

+ Email to orders@optimasurgical.com 

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OPTIMA SURGICAL SERVICE

 

+ Once the order is received, an Optima Surgical team member will contact your patient and explain the stimulator & process.

+ We submit all order documentation to insurance authorization dept.

+ We keep you and your staff informed on authorization and if there is any plan specific documentation required. 

+ We explain insurance benefits and provide financial assistance to patients.

+ We fit patients at a time & location most convenient for them.

+ We provide ongoing support to patients.

ORDERING A BONE STIMULATOR FOR NON-SPINE PATIENTS

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PATIENTS THAT QUALIFY

 

+ Nonunion of a long bone fracture.  (Nonunion MUST be documented by a MINIMUM of 2 sets of radiographs separated by a minimum of 90 days, and a written interpretation by a provider stating that there has been no clinically significant evidence of fracture healing between the two sets of radiographs)

+ Failed Fusion of a Joint where a minimum of 9 months has elapsed since the last surgery.

+ Congenital pseudoarthrosis

REQUIRED DOCUMENTS TO PROCESS AUTHORIZATION

 

+ Prescription for Bone Stimulator (for RX Template Click Here)

+ Patient Demographics (contact info, insurance policy info)

+ Most Recent Clinic Note (must be within prior 6 months)

+ 2 Radiographs separated by a minimum of 90 Days.

3
4

3 OPTIONS TO SUBMIT 

 

+ Click Here to Upload

+ Fax to 602-391-2622

+ Email to orders@optimasurgical.com 

OPTIMA SURGICAL SERVICE

 

+ Once the order is received, an Optima Surgical team member will contact your patient and explain the stimulator &  approval process.

+ We submit all order documentation to insurance authorization dept.

+ We keep you and your staff informed on authorization and if there is any plan specific documentation required. 

+ We explain insurance benefits and provide financial assistance to patients.

+ We fit patients at a time & location most convenient for them.

+ We provide ongoing support to patients.