Insurance Reimbursement

Thank you for your interest in the SootheAway Thermal Therapy System. In an effort to help you obtain reimbursement from your insurance company, it is our pleasure to share the following information. While we cannot promise that your insurance company will reimburse you for your purchase, we are committed to providing education and information to every patient’s insurance company. We are hopeful that your insurance company will recognize the benefits of the SootheAway System. It is intended to provide patients, like you, with a safe and effective drug-free alternative.

When communicating with your insurance provider, you can choose from the following approaches:

  1. Request reimbursement after you have purchased your system
  2. Pre-determination of benefits before purchasing your SootheAway System, or
  3. Appeal for reimbursement if you are initially denied by your plan.

If you choose to pursue Option 1 (Post-purchase reimbursement), you should take the following steps:

  1. Go to the SootheAway online store or call 877.646.1222 to purchase the device
  2. Visit your physician and show him/her the SootheAway Physician Review Sheet
  3. Have your physician write a prescription for the SootheAway device, using the SootheAway Prescription Form (or a physician’s own form if they prefer)
  4. Write a cover letter providing specific information about you, your history of suffering, and why you need this device (download our Patient Reimbursement Request Letter template and complete the yellow highlighted areas)
  5. Look at your insurance card for a mailing address and insert it into your cover letter (If a mailing address is not listed on your insurance card, then please call “Member Services” and ask where a request for reimbursement of a product prescribed by your physician should be sent)
  6. Mail the following to your insurance company (keep a copy of all documents for your records)
    1. Reimbursement Request letter
    2. Physician’s Prescription
    3. SootheAway Physician’s Review Sheet
    4. Your SootheAway product receipt (view a sample receipt)
    5. SootheAway Noridian PDAC letters
    6. Evidence of Clinical benefit

If you choose to pursue Option 2 (Pre-determination) you should take the following steps:

  1. Visit your physician and show him/her the SootheAway Physician Review Sheet
  2. Have your physician write a prescription for the SootheAway device, using the SootheAway Prescription Form (or a physician’s own form if they prefer)
  3. Write a cover letter providing specific information about you, your history of suffering, and why you need this device (download our Patient Pre-determination Letter template and complete the yellow highlighted areas)
  4. Look at your insurance card for a mailing address and insert it into your cover letter (If a mailing address is not listed on your insurance card, then please call “Member Services” and ask where a request for reimbursement of a product prescribed by your physician should be sent)
  5. Mail the following to your insurance company (keep a copy of all documents for your records)
    1. Pre-determination Letter
    2. Physician’s Prescription
    3. SootheAway Physician’s Review Sheet
    4. SootheAway Sample receipt
    5. SootheAway Noridian PDAC letters
    6. Evidence of Clinical benefit
  6. After receiving your pre-authorization, visit the SootheAway online store or call 877.646.1222 to purchase the device

Option 3 – If your claim has initially been denied by your insurance provider

  1. Do not be discouraged, and be persistent in your efforts to appeal
  2. To provide further argument or support for your claim, we encourage you to craft an appeal letter (download our Patient First level Appeal Letter template and complete the yellow highlighted areas)
  3. Mail the following to your insurance company at the address indicated in your denial letter (if no address was provided, resubmit to the original address but mark it ATTN: Appeals Group)
    1. Patient First Level Appeal Letter
    2. Copy of Physician’s Prescription Form
    3. Copy of SootheAway receipt (if already purchased)
    4. SootheAway Physician’s Review Sheet
    5. Evidence of Clinical benefit

We hope you find this information helpful. It is designed to help expedite your request. To begin the process of obtaining reimbursement from your insurance plan. For personal assistance, please do not hesitate to call us at SootheAway. We would be happy to answer your personal questions and further support your insurance submission.

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