|Address||Fisher Wallace Laboratories, LLC|
|515 Madison Avenue|
|New York, NY 10022|
Customer Service Hours
|Monday - Friday||9AM - Midnight EST|
|Saturday - Sunday||Noon - Midnight EST|
Many private insurance companies, such as Aetna, United Healthcare and Blue Cross often reimburse patients for the purchase of a Fisher Wallace Stimulator® when it is prescribed for the treatment of pain using the procedure code E0720.
When the device is authorized only for the treatment of depression, anxiety or insomnia, the reimbursement rate decreases significantly. When the device is authorized for depression / anxiety / insomnia AND pain, patients will be able to have the device reimbursed more easily.
Fisher Wallace Laboratories is not in network with any insurance. Fisher Wallace Laboratories does not process reimbursement paperwork on behalf of its customers, but will assist customers throughout the process.
After purchasing your device, call your insurance company, provide them with the device reimbursement code (procedure HSPCS code) E0720 and the diagnosis code which should be supplied by your healthcare professional on the written authorization form. The insurance company will typically mail you a DME (Durable Medical Equipment) claim form that needs to be filled out and attached to the proof of payment. Your emailed receipt from Fisher Wallace contains all the information you will need, with the exception of the diagnosis code. The following information is often required by insurance companies to process a reimbursement (or payment) request:
Federal Tax ID # for Fisher Wallace Laboratories, LLC: 20-8131183
NPI #: 1497045215
Device Reimbursement Code (Procedure HSPCS Code): E0720
Patients who encounter difficulty receiving insurance approval may enhance their claim by submitting a letter from their doctor that describes the necessity of the device. You may want to download a template of this letter. Your doctor will need to edit the template to reflect your particular situation.
The letter should be signed by your doctor and printed on the doctor's professional stationary.
Office Visit Codes for receiving treatment by a doctor in the office:
G0283 Electrical Stimulation (unattended), to one or more areas for indications other than wound care, as part of a therapy plan of care.
Medicare & Medicaid
Unfortunately, Medicare & Medicaid will not reimburse patients for the purchase of our device at this time. However, we do offer a $100 off for Medicare and Medicaid customers. All we need is a copy of your medicare or medicaid card faxed over or emailed along with your written authorization. If you have a secondary insurance plan in addition to Medicare, that covers the device, you will first need to receive a denial from Medicare for coverage in order to apply for reimbursement from the secondary insurance. To do so please call Medicare and ask for the 1490S Medicare form that you will need to fill out, attach your prescription, proof of payment and a cover letter stating that you are requesting a denial. All information needs to be sent to the Medicare Durable Medical Equipment address in your state (please call Medicare to obtain that address).
Returning Your Device for a Refund
If you are confident that you want to return the Fisher Wallace Stimulator for a refund, please read over and fill out the Return Form, which is attached to the instructional manual you have received with your device.
Please follow the packaging and return instructions on the form. No return authorization number is required for your return.
You may use any carrier to ship your device back to us, but we strongly recommend you use delivery confirmation. We are not responsible for refunding a lost device if there is no proof that we received it.
Your refund will come in form of a check in 4-6 weeks from the date we received your return.
DUE TO BUILDING SECURITY RESTRICTIONS WE REGRET THAT WE ARE UNABLE TO OFFER PICK UP AND DROP OFF SERVICE FOR OUR VALUED CUSTOMERS. ONLY LICENSED MESSENGERS AND PHYSICIANS ARE PERMITTED ENTRY. THANK YOU FOR YOUR UNDERSTANDING OF THIS POLICY.
Repairing Your Device
If you are having difficulty using your device, please read the troubleshooting section (12.0) of the instructional manual, where you will find solutions for the most common problems. If you still need help, please call us at 800.692.4380. If we cannot solve your problem over the phone, we will repair or replace your device at no charge, so long as it is still under warranty. You will be responsible for shipping your device to us.
60-Day Refund Policy
Fisher Wallace Laboratories offers the most generous refund policy in the medical device industry.
The purchaser of a Fisher Wallace Stimulator® may return the device for a refund within 60 days of receipt. The purchase price of the device will be refunded, minus a $69.95 processing fee to cover the cost of disposables (sponges, headband, carry case) and device testing and processing. Shipping charges and the purchase of extra accessories (such as extra sponges) will not be reimbursed. If the returned device is damaged, no refund will be provided. If you have returned your device, your refund check will arrive in four to six weeks from the date we receive your device.
You may use any carrier to ship your device back to us, but we strongly recommend you use delivery confirmation. We are not responsible for refunding a lost device if there is no proof that we received it. Your refund check will arrive in four to six weeks from the date we receive your device.
We do not allow in-person drop-offs by customers.