Support Process
The AxiaLIF Reimbursement Support Line can help guide you through the reimbursement process for AxiaLIF fusion.
The reimbursement process begins with the completion of the Physician Intake Form. Your patient will then be asked to review and sign the Patient Consent and Authorization Form for the release and use of his/her “PHI” (personal health insurance) information. This information will be used solely for purposes of providing reimbursement support and facilitating insurance coverage. Finally, you will be asked to complete the AxiaLIF Reimbursement Support Request Form which includes patient specific demographic, medical and procedure related information.
To get started, simply download, complete and fax copies of the signed forms to the AxiaLIF Support Line at 215-369-9198 along with a copy of the patient’s insurance card and medical records.
The Support Line also provides access to a wide variety of tools, resources and supporting materials that may be needed for prior authorization, payor appeal submissions, and AxiaLIF billing:
- Sample PA letter
- Sample appeal letters
- Guidance for Prior Authorization and Billing for Pre-Sacral Spinal Fusion using AxiaLIF
- Sample Cover Letter for Prior Authorization and Billing using AxiaLIF (using T-code)
- TranS1 AxiaLIF Assessment
If you would like to receive additional information about our support program or request additional materials, please call the AxiaLIF Reimbursement Support Line to speak with a representative (or leave a message after hours).
Support Downloads:
• AxiaLIF Physician Intake Form >
• Patient Consent and Authorization for Disclosure Form >
• AxiaLIF Reimbursement Support Request Form >
• AxiaLIF coding and Payment Reference Guide >
This information is taken from the materials published by the Centers for Medicare and Medicaid Services and the American Medical Association. This information cannot guarantee coverage or reimbursement, and Trans1, Inc. makes no other representations as to selecting codes for procedures or compliance with any other billing protocols or prerequisites. As with all claims, individual physicians and hospitals are responsible for exercising their independent clinical judgment in selecting the codes that most accurately reflect the patient’s condition and procedures performed for a patient. Physicians and hospitals should refer to current, complete, and authoritative publications such as AMA CPT publications or insurer policies for selecting codes based on the care rendered to an individual patient, and may wish to contact individual carriers, fiscal intermediaries, or other third-party payors as needed.
