Medicare Advantage Plan requires 2nd quote from prosthetic competitor?

Medicare Advantage Plan requires 2nd quote from prosthetic competitor?

Anita Curtis

7/25/2012

We are serving a patient who has coverage through a Medicare Advantage Plan who is requiring a 2nd quote from another prosthetic provider. More specifically, after initiating our authorization request including clinicals, the company sent a request to the patient's physician's office requesting a second quote from another prosthetic provider. When the physician's office did not respond they closed the case which we discovered when calling to get the status of our request. They explained that they have an internal policy in place that requires two quotes. They would not provide us with a copy of that policy. Has anyone had this same experience? Please advise.


Anita Curtis
Office Manager

Optimus Prosthetics
8517 N. Dixie Dr Ste 300
Dayton, OH 45414

937.454.1900
937.454.1909 Fax