Download a sample estimate or contact us for a custom estimate at firstname.lastname@example.org. Then ask your insurance provider how much they will reimburse you for your medical hair prosthesis, and how long it will take to get reimbursed.
Need assistance? Contact our salon and one of our wig experts will be glad to help you.
Schedule a free consultation at our salon. We also offer in home/in hospital consultations in New York City. We will listen to your hair loss concerns, and answer all your questions. Each wig is styled by our talented and compassionate wig stylists. Our goal is help you look and feel like yourself again. Then when you are ready, you can purchase a wig.
Download and send Claim Form #1500 to your insurance company (contact your provider if the form is not listed below). Other items you will need include:
- Federal Tax ID: #13-3925124
- National Provider Identifier: NPI #: 1992002042, License #: 045279, NPI Registry
- Common procedure codes: Synthetic (A9282, 99199), Human Wig (L8499)
- Receipt: Paid in full as proof of payment
- Rx: Diagnosis code from doctor (for a medical or cranial hair prosthesis)