Required Documents
To help make your consultation and insurance reimbursement process as smooth as possible, we recommend gathering the following documents before your appointment. Requirements vary by insurance provider and medical diagnosis.
Healthcare Provider
- Prescription for a Cranial Prosthesis (Medical Wig)
- Letter of Medical Necessity (on provider letterhead)
- Diagnosis documentation or recent medical records
- Applicable diagnosis code (ICD-10), if provided by your physician
Don't have these documents yet? We can help explain what may be needed during your consultation.
Insurance Provider
- Insurance card (front and back)
- Member ID and Group Number
- Information regarding DME or Prosthetic benefits (if available)
- Any required prior authorization forms
If you're unsure about your coverage, we'll help guide you through the process.
Provided by AlterEGO Hair Solutions
- Detailed Invoice
- HCPCS Coding (when applicable)
- Provider Information
- W-9 (upon request)
- NPI Information
- Product Description
- Supporting Documentation
Coverage requirements vary by insurance plan.
📞 Need Assistance?
If you are missing any documents, don't worry. Our goal is to make this process as simple and stress-free as possible. During your consultation, we'll explain what documentation may be needed based on your individual situation.
Ready to Get Started?
We'll guide you through every step — from selecting the right cranial prosthesis to preparing documentation for insurance reimbursement.
Request Your Consultation📧 info@alteregohairsolutions.com