ORDER TODAY Satisfaction Guaranteed 100% “For patients with Carpal Tunnel Syndrome and other Repetitive Strain Injuries, my success rate using FLEXTEND® is nearly 100%.” Dr. Linda Harries Call Toll-Free 1-800-295-4495

Insurance Reimbursement And Medical Classification:

1. Reimbursement:
   
   
   1. Hospital/Clinic Reimbursement With Doctors Prescription.
      
      
      • Doctor writes a prescription for FLEXTEND.
      • Clinic bills patients insurance along with a copy of:
        
        
        • Patient chart notes.
        • FLEXTEND "product description".
        • Billing code.
   2. Rehabilitation Clinics Without Doctors Prescription.
      
      
      • Clinics purchase FLEXTEND.
      • Clinic bills patients insurance along with a copy of:
        
        
        • Patient chart notes.
        • FLEXTEND "product description".
        • Billing code.
        • Product invoice (If needed).
   3. Third-Party Billing:
      
      
      • Doctor writes prescription for FLEXTEND.
      • Insurance representative faxes company name, employee name, and invoice/order to Balance Systems Inc. (BSI).
      • BSI bills insurance company for FLEXTEND.
      • BSI sends glove directly to patient.
      • Payment due by insurance company upon receipt of invoice.
   4. End User / Consumer Billing With / Without Prescription .

   • Consumer purchases FLEXTEND.
   • Consumer obtains information packet/forms from their insurance company for direct billing purposes.
   • Consumer obtains either a prescription or medical necessity form from their physician or healthcare practitioner.
   • Consumer sends to their insurance company the following:
     • Product Invoice
     • Insurance Forms
     • Prescription or Medical Necessity Form
     FLEXTEND Product Description

2. FLEXTEND INSURANCE COVERAGE.
   
   
   1. QualMed (HMO)
   2. Blue Cross / Blue Shield
   3. Johnson & Culbertson (Workers Comp.)
   4. Washington Hospitals (Workers Comp.)
   5. Tri-Care (Champus)
   6. Associated Administrators (Regence / Private)
   7. Labor & Industries
   8. O.D.S. Health Plan
   9. Aetna Life (Assoc. w/ Medicare)
   10. Adventist Risk (HMO / Private)
   11. PacifiCare (HMO)
   12. Regence (HMO)
   13. Safeco (Workers Comp.)
   14. SAIF (Workers Comp.)
   15. Humana
   16. First Option Health Insurance
   17. Federal Workers Comp.
   18. State Fund Workers Comp.
   19. Prescription Management Services, Inc.
   20. Republic Indemnity Company of America
   21. Chubb Services Corporation
   22. Safeway Risk Management
   23. Kemper Insurance
   24. Genex Services
   25. Fremont Compensation
   26. Principal Life Insurance Company
   27. Medicare Part-B
   28. Arizona Foundation for Medical Care
   • This is only a partial list of Insurance Companies that provide reimbursement.
3. FLEXTEND Has Been Billed Using The Following HCPCS Codes:
   
   
   1. Durable Medical Equipment: E-1399
   2. Orthotic Glove With Resistive Tubing: L-3912
4. Food and Drug Administration (FDA):
   
   
   1. FLEXTEND is registered with the FDA.
   2. FDA Classification #: 890.5350