|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|
New York State Residents with Medicaid coverage may be able to secure coverage if they have a secondary insurance plan that works with Integra Partners. Integra Partners is a full-service network connecting Orthotics and Prosthetics (O&P) and Durable Medical Equipment (DME) providers. You can find insurers that work with Integra Partners using this form. When requesting coverage, make sure your prescription is written for chronic pain, and use E1399 (miscellaneous electrical stimulation) as the equipment code.
Some medical supply companies will obtain devices directly from us and provide them to patients. Rainbow Medical Supply in Brooklyn, New York is one supplier that can purchase a Fisher Wallace Stimulator® from our company and ship it to a Medicaid patient in New York State. Rainbow Medical Supply can be reached at (718) 375-5875.
Other states may have programs like the one in New York. You can inquire with your local Medicaid administration or visit the Medicaid Central Office. You can also look up Medicaid information unique to your state.
Unfortunately, Medicare will not reimburse patients for the purchase of our device at this time. However, if you have a secondary insurance plan in addition to Medicare, that plan may cover the device.
To apply for coverage from your secondary plan, you first need to receive a denial of coverage from Medicare. To receive your denial, submit this 1490S Medicare form. In addition to the form, you will need 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. The address for each state is listed on the form.
Once you receive a denial from Medicare, you can submit it to your secondary insurance carrier.
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 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 stationery.
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.
Uniformed Service Members
TRICARE is the health care program for uniformed service members (active, Guard/Reserve, retired) and their families around the world. TRICARE has covered the Fisher Wallace Stimulator® in the past if the prescription is written for anxiety, depression or insomnia. Submit your claim directly to TRICARE and use E0720NU as the equipment code.
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.
Our 100% Refund PolicyIf you purchase a Fisher Wallace Stimulator® and it does not relieve your symptoms, you may return it for a 100% refund within 60 days of receipt. We do not refund Overnight or 2-Day Shipping (FedEx Ground Shipping is FREE). We offer this refund so you may purchase with confidence and discover why we have thousands of satisfied customers.
Note: Wholesale purchases by medical distributors or doctors are non-refundable.