FUNDING DIRECTORY

		Documentation Requirements & Forms
		Where do I begin?
		Medicare criteria for Speech Generating Devices
		Where to send completed forms
		Locate your ZYGO equipment health plan provider in your state
		Rental Program Information
		Funding FAQ
		Glossary of terms
		AAC and Funding Resources
		ZYGO AAC Devices and HCPCS Allowables


CLAIMS REQUIREMENTS

		Client Profile / Client Information Form
		Copy of all insurance cards (front and back)
		Assignment of Benefits
		Co-pay and deductible if there is no secondary insurance
		Consent Form
		Speech Therapist's Comprehensive evaluation (dated prior to date of Rx)
		Physician’s Prescription


Samples:

		Sample Speech Therapists Evaluation
		AAC-RERC Sample Evaluations

contact us directly

ZYGO Industries, Inc.