BI-LEVEL POSITIVE AIRWAY PRESSURE (BI-PAP) BREATHING DEVICE - RENTAL

BI-LEVEL POSITIVE AIRWAY PRESSURE (BI-PAP) BREATHING DEVICE - RENTAL

Benefit Code Number
342043
Program of Choice
09 - Oxygen therapy
Province
Alberta
Prescriber Required
Medical Doctor
Recommender Required
Yes
Preauthorization Required
Yes
Frequency
4/4 CM
Provincial Coverage
No
Comments
SEE NOTE 7 AND 15
Notes
GENERAL NOTES PRE-AUTHORIZATION NOT REQUIRED FOR REPLACEMENT ISSUE UNLESS OTHERWISE INDICATED. IF THE BENEFIT GRID SPECIFIES A SPECIALIST, ONLY THAT SPECIALIST IS ACCEPTED. SHOULD "MD" BE INDICATED, THE SERVICE MAY BE PRESCRIBED/RECOMMENDED BY A GENERAL PRACTITIONER OR ANY MEDICAL SPECIALIST. DISTILLED WATER/SALINE SOLUTION CAN ALSO BE PROVIDED IF THE GROUP AREA OF THE TAPS IDENTIFICATION CARD HAS AN "A" OR "B" POC 07. COMMAS APPEARING IN THE "PRESCRIBER REQUIRED" AND "RECOMMENDER REQUIRED" COLUMNS INDICATE OR, EG. "MD", "RN" MEANS "MD" OR "RN". SPECIAL NOTES