Reimbursement Support

Get assistance with funding your eXciteOSA.

Effective April 1, 2022 the following HCPCS codes have been validated for the eXciteOSA products.

Product Name
Model Number
HCPCS Code
EXCITEOSA STARTER KIT 13010 K1028+K1029
EXCITEOSA MOUTHPIECE 16000 K1029
EXCITEOSA CONTROL UNIT 17000 K1028

Please have your DME supplier contact your health insurance company to verify coverage requirements and estimated out of pocket costs.

For direct reimbursement assistance, please use the Support Tools below.

Need help?  For any questions, please contact 844-MILDOSA or https://signifiermedical.com/contact/.

Commercial Payer Patients

Here you’ll find a complete set of resources dedicated to eXciteOSA® submissions to Commercial Payers.

 

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Medicare Patients

Please use these templated materials and letters of medical necessity and appeals for Medicare

 

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Medicaid Patients

Please use these templated materials and letters of medical necessity and appeals for Medicaid

 

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Payer Summary Reference

Download

Letter of Medical Necessity

Download

Coverage Requirements

Download

Payer Summary Reference

Download

Letter of Medical Necessity

Download

Coverage Requirements

Download

Payer Summary Reference

Download

Letter of Medical Necessity

Download

Coverage Requirements

Download