Complete the Insurance & Physician’s Packet or RX Authorization Form above. Then, email it to firstname.lastname@example.org, or fax it to (818) 775-2941.
For patients looking to get The Fischer covered by insurance. Complete this packet and include chart notes.
Prescription form for The Fischer Tap Water Iontophoresis Device, to be filled out by a licensed healthcare practitioner.
This Machine Works!
“My son has suffered for several years with hyperhidrosis and it has affected his quality of life. Thankfully, this machine works!!! He has been taking oral medication for years (that has side effects) and he has been able to lower his dosage after using this machine for a few weeks. We are hoping to completely stop taking the medication soon and just rely on the machine solely. His confidence and self esteem has improved!”
Our Treatment Specialist will check into your patient’s insurance coverage. They’ll make contact with your patient to review their policy details like deductibles and gap exceptions.
Our Treatment Specialists file the prior-authorization request on behalf of your patient. We submit the paperwork you’ve provided, including the medical letter of necessity and chart notes. These elements strengthen the patient’s case for coverage. Insurance companies then have 14-business-days to respond.
Once your patient signs an Advanced Beneficiary Notice (ABN) form, we’ll file ther insurance claim for The Fischer VPD. Providers can take 60-90 days on average to approve claims. Even if prior-authorization has been approved, it does not guarantee payment or coverage of The Fischer. Insurance companies may cite policy language, deductible requirements, or deem iontophoresis as experimental/investigational, despite our best efforts to advocate on behalf of your patient.
Once we file your patient’s claim, we’ll ship their device the same day. Shipping takes 3-5 days, and then most patients notice reduction in sweat within the first 2-weeks.