While many may assume that any prescription signed or provided by a doctor is good to go, it's important to note that specific insurance plans and products may have unique prescription requirements. There are also times that a provider may simply miss or skip a field that, for Babylist Health, is essential to provide a breast pump through insurance. We've compiled a list of the most common reasons why a prescription might not meet the necessary criteria.
- Your provider does not sign the prescription.
- Your provider does not date the prescription.
- We cannot find your provider as a qualified prescriber in our database.
- Sometimes signatures are unreadable. If a provider does not print their name or add their National Provider Identifier (NPI) number to the prescription, we cannot confirm that it was signed by a medical professional qualified to write the prescription.
- The prescription is missing a diagnosis code.
- To prescribe a breast pump, there must be a reason it is needed. This need is indicated by the diagnosis code.
- Prescription has an invalid or non-applicable diagnosis code.
- Sometimes we see diagnosis codes listed that do not, by insurance standards, allow for a covered breast pump.
- Your name on the prescription does not match your name on your order or your name listed by your insurance.
- This occurs most often due to maiden/married name changes.
- Your date of birth is missing or does not match what we have on file.
- It is important to note that the patient listed on the prescription and the order should always be the individual that will be using the breast pump.
- The HCPC (Healthcare Common Procedure Code) is missing.
- The NPI (National Provider Identifier) number doesn't match the listed provider.
- The signature does not match the name of the listed provider.