Insurance Reimbursement Information
Insurance rembursement for the use of these products varies depending on the state and insurance company. We are happy to help by providing the information below, but we have no way to predict if you will qualify.
Some insurance companies and state programs that cover our products require a reimbursement or Healthcare Common Procedure Code (HCPC). These codes are listed here for your convenience.
Below are sample reimbursement request letters that you can modify and use with your insurance company.The letters are provided in a rich text format that is compatible with most word processors.
Product |
Item # |
Reimbursement |
HCPCS Code |
Insurance Reimbursement Letters
Right click,
save as ... |
Neocate Junior - Unflavored |
11790-USA |
49735-0117-90 |
B4161 |
Neocate Junior - Tropical Fruit |
12124-USA |
49735-0121-24 |
B4161 |
|
Neocate Junior - Chocolate |
12690 |
49735-0126-90 |
B4161 |
EO28 Splash - Grape |
12670 |
49735-0126-70 |
B4161 |
|
EO28 Splash - Tropical Fruit |
12666 |
12666 49735-0126-66 |
B4161 |
EO28 Splash - Orange-Pineapple |
11050 |
11050 49735-0110-50 |
B4161 |
|