
Provider: Stefan Marchant, Au.D
License Number: TX 81012
NPI: 15-88177307
EIN: 92-3428955
NPI: 1427664622
Tax ID: 851855501
Insurers
Aetna: 800-872-3862
Patient Info
For BCBS, most of this information can be obtained through automated system. You may have to have it repeat, if you don't list closely. The form is laid out in the order that benefit details are given for BCBS automated system, since they are the most problematic time wise.
If they ask for codes to look up:
V5261 = Binaural BTE
92557 = Comprehensive Test
Carrier Info
Policy Details
Deductible
Out of Pocket
Hearing Aid Coverage
Allowed Amount (In Network Only)
Billed Charges = % of Invoice Amt
Benefit Max = Defined Max Benefit
Third Party = Only Usable through 3rd party provider
No Benefit = No Hearing Aid Coverage
Testing Coverage
Primary Care Physician
If referral or prescription from PCP is required for benefit use.
Verification Details
Fill this part out even if there are no benefits. If benefits were acquired through Availity/Automated System, specify in reference number field.