PAP compliance data

If you are new to PAP, most insurance carriers are following Medicare’s guidelines for usage.  If your machine is being covered on a rental basis (that is usually determined by the insurance company), you will be required to prove that you use the device for at least 4 hours / 70% of time.   New machines that are dispensed come with an SD card that can be inserted or read by your DME provider (or Sleep Clinic) to prove that you have used the device for the time required.  Some machines are equipped with a wireless modem to transmit the data directly the DME company.  The new ResMed Air Sense unit has an internal modem eliminating the need for an external, plug in modem.

If you have been on PAP for many years and wish to re-order supplies, Anthem Blue Cross is now requiring that the DME company or Sleep Clinic prove that you have used the device for 4 hours / 70% of the time for the previous 3 months prior to ordering the supplies.  This can also be accomplished by downloading data from the SD card or reading the data via modem.


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