What is the insurance verification process for a sleep test and telemedicine visit?

Understanding the insurance verification process is crucial for your patient's sleep test, and your insurance covers telemedicine visits. Here’s a step-by-step guide to help you navigate this process smoothly:

Steps for Insurance Verification

1. Portal Activation: The first step is to activate your patient portal. This is essential as it allows your patient to manage their insurance details, schedule appointments, and track device shipments.
2. Verification of Medical Benefits (VOB): SleepTest.com will conduct a complimentary insurance check once the patient’s portal is activated. This process typically takes 24-48 hours. You will receive an email detailing any out-of-pocket costs before you proceed with the test.
3. Pre-Test Telemedicine Visit: Most insurance carriers require a pre-test telemedicine visit for coverage.
4. Post-Test Telemedicine Visit: A post-test telemedicine visit may be mandatory, especially if a patient is diagnosed with severe Obstructive Sleep Apnea (OSA) or if insurance requires it.

Additional Considerations

• Out-of-Network or HMO Plans: These plans may not be supported. If your plan is out-of-network, you can opt for cash payment options.
• Updating Insurance Information: If patients change insurance midway, they can update their insurance details in the portal. If your referral is already submitted, you may need to reactivate or submit a new referral with updated information.

Next Steps if Issues Arise

If you encounter any issues during the insurance verification process, here are some steps you can take:

1. Double-check that your portal is activated and your insurance information is up-to-date.
2. Contact us support through the chat portal for immediate assistance.