Insurance Card
Front and back, including the payer’s member-services and provider-services contact information.
White-Glove Delivery & Virtual Styling Support Included
PRIVATE INSURANCE GUIDANCE
Benefits Verification,
Thoughtfully Prepared.
Before a medical consultation, CrestaStrand can help organize the information needed to understand your plan’s cranial-prosthesis benefits and the questions that should be confirmed with your payer.
THE PURPOSE
Clarity before commitment.
Verification helps separate confirmed benefits from estimates, exclusions, and the amount that may remain the client’s responsibility.- 01
- Gather
- 02
- Verify
- 03
- Summarize
- 04
- Prepare
BEFORE YOU BEGIN
What to have available.
Keep these items in your possession for now. Do not email, text, or submit them through CrestaStrand’s general Shopify forms.
Member Details
Legal name, date of birth, member ID, group number, plan type, and policyholder relationship.
Clinical Documentation
Prescription, diagnosis, and letter of medical necessity when available or required by the plan.
Written Permission
A signed authorization will be required before CrestaStrand contacts a payer on a client’s behalf.
THE VERIFICATION REVIEW
What CrestaStrand will confirm.
The secure portal will be connected later. Once active, it will be the only website pathway used to collect insurance cards, member identifiers, prescriptions, diagnoses, and authorization documents.
Coverage
Whether the plan indicates a cranial prosthesis or medical hair prosthesis benefit.
Approved Billing Code
The payer-confirmed code and terminology required for the client’s plan.
Benefit Limit
Applicable dollar maximum, coinsurance, deductible, and replacement frequency.
Network Rules
In-network or out-of-network requirements and any supplier restrictions.
Prior Authorization
Whether approval is required before purchase and what documentation the payer requests.
Client Responsibility
Known exclusions, unverified amounts, and costs that may remain the client’s responsibility.
AFTER VERIFICATION
A clear summary, not a promise of payment.
The client-facing summary will distinguish confirmed information from estimates and identify what still requires payer approval.
YOUR VERIFICATION SUMMARY
Confirmed BenefitsInformation directly stated by the payer
EstimatesAmounts that may change after claim processing
Exclusions & RequirementsNetwork, authorization, frequency, and documentation rules
Client ResponsibilityDeductible, coinsurance, noncovered amounts, and remaining balances
AFTER PURCHASE
A payer-specific claim packet.
When applicable, the packet will be standardized around the information most often required for claim review.
PrescriptionDiagnosisMedical necessityItemized product detailsCrestaStrand tax IDPayer-confirmed billing code
GENERAL GUIDANCE IS STILL AVAILABLE
Not ready for verification?
You may request a general consultation for product, fit, or process guidance. Please do not include diagnoses, member IDs, prescriptions, insurance cards, or medical documents in the consultation form.
Request General Guidance →- Choosing a selection results in a full page refresh.
