Each person treated with the AirAllé will receive a Health Insurance Claim Form to submit for reimbursement. The Lice Clinics of America Health Insurance Claim Form is pre-populated with the necessary codes including the location of service code, diagnosis code and the treatment code. You need only fill in your personal information. In case your insurance provider requires a different format for reimbursement, you can easily use the information presented in the Health Insurance Claim Form when completing your insurance provider’s specific claim form.
It is possible that your claim may be rejected on the first submission due to missing information. As a first step, we will be happy to assist with your claim by reviewing your form for completeness and accuracy. If the resubmitted claim is rejected a second time, we can then provide you with a letter of medical necessity to resubmit with your original form.