Insurance Details

Certified Mobility and Insurance Billing

Thank You for making a purchase with Certified Mobility, an extensive medical equipment provider. Certified Mobility is a contracted medical equipment provider for many insurance companies, and we are happy to assist you in obtaining reimbursement from your insurance company for any eligible purchase(s).

Coverage terms are different for each insurance company, and we will check with your insurance company to see if the equipment you require will be covered. (Refer to What to Expect). For many insurance companies, Certified Mobility will be an "out of network" provider. However, our prices are so much lower than the "in network" providers that it is almost always less expensive for you to work with us.

In most cases, Certified Mobility can obtain a pre-authorization from your insurance company so you know your level of reimbursement before you pay for you order. Some insurance carriers will actually guarantee payment directly to Certified Mobility, eliminating any up-front payments from you, except possibly your co-pay.

Certified Mobility is only able to process claims for customers who do not have an HMO as their primary coverage. We will verify your coverage and eligibility before processing your order.

What to expect
If you place on order online, and indicate you would like Certified Mobility to bill your insurance company, you will receive a call from a Certified Mobility customer service team member to discuss your specific circumstances and gather information regarding eligibility. If you place the order with our customer service team over the phone (1-800-815-1211), the customer service representative will take your order, then transfer you to our billing department to begin the billing process. Either way, the process involves these simple steps:

Step 1. Certified Mobility will collect the following information:
Insurance Company Name Insured’s Name and ID# or Subscriber#/group # Date of Birth (both the insured and the patient, if different) Insurance Company Claims Mailing Address /Telephone #

Step 2. HIPAA Release Form. Certified Mobility will email, fax, or mail you a HIPAA Release Form, which gives your physician and your insurance carrier permission to release relevant medical information to Certified Mobility so that we can successfully submit your claim. Please respond to this form ASAP.

Step 3. Certified Mobility will contact your insurance company to determine eligibility and coverage. Our billing specialists will then contact you with the details, including your total out-of-pocket cost share.

Step 4. You will need to send the prescription from your physician for all eligible equipment. Certified Mobility must receive this prescription before your medical equipment is delivered.

Step 5. After all information and required documentation are received Certified Mobility will file your claim with your insurance carrier.

Step 6. Your insurance carrier will process your claim and generally reimburse you within 45-90 days.




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