Cranial Technologies

Don't worry, you're in good bands

Our dedicated insurance team at Cranial Technologies will be with you every step of the way. We strive to take the stress and hassle out of the insurance process, so you have more time for your little one!

Cranial Technologies CARES

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Cranial Technologies CARES

It's our responsibility to help reshape your baby's life with options that don't strain your finances. While we strive to obtain the best potential coverage from your insurance plan, you may still have co-pays, deductibles, or other out-of-pocket costs for treatment.

Get treatment now, pay later

Getting treatment for your little one is our priority. We strive to find and provide options for all families, no matter their unique situations.

See Financing Options
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An insurance process with your
schedule in mind

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Seamless coordination with your doctor

Let us handle the hassle of securing your medical documents and coordinating with your doctor for a seamless experience.

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Contact and verify insurance coverage

We'll connect with your insurance provider to verify your coverage and understand the requirements of your insurance plan.

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Benefit explanation and cost clarity

Our team will explain your insurance benefits and provide clear estimates on treatment costs so you can make an informed decision.

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Streamlined paperwork

Our goal is to ensure a seamless experience for our patients. This includes minimizing the administrative burden so you can focus on what matters most.

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Treatment on your schedule

You're a new parent, and new parents are incredibly busy. So we've made it easy to find time for treatment that works with your schedule.

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Graduation

Our team has you covered from consultation to graduation!

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Pre-Treatment Insurance Review

If DOC Band treatment is recommended, we have a dedicated team that will work with your insurance company to determine whether the cost of treatment will be covered. After we hear from your insurance company, a team member will contact you to go over available benefits and estimated cost.
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Can my baby still start treatment?

We understand you may be eager to start treatment. There are cases where babies can begin treatment without waiting. Our dedicated team will go over all available options with you.

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How long does the review take?

Once we send all the required documentation to the insurance company, it typically takes around 7-10 business days to perform the insurance review. This varies based on insurance carrier. Once completed, we will contact you to review available benefits.

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Pre-treatment review outcome?

If your insurance plan requires you to wait for the results of the pre-treatment insurance review prior to starting treatment, our insurance team will reach out to you. They will provide you with the necessary information and estimated cost to help you schedule your baby's treatment. Please note that scheduling prior to completing this step may not be possible.

Have Questions?

Will my insurance pay for the band?

Our insurance team will contact your insurance provider to determine what benefits are available. They will then contact you to go over that information. Coverage depends on each individual policy and each individual child. About 70% of all insurance providers have some type of coverage for the band. Some providers require that we get services approved prior to starting treatment. We will obtain any authorizations that might be required.

While we recognize the importance of acting quickly once you have decided to treat your baby, we are limited by the processes many insurance companies follow, which sometimes take 2-4 weeks. You can be assured that we will do everything we can to try to speed this along, but please recognize that we do not control this part of the process.

What is the procedure code that you submit to my insurance?

S1040-Cranial Remolding Orthosis is the one and only procedure code for the DOC Band (for Plagiocephaly and Craniosynostosis).

What is my baby’s diagnosis code?

Q67.3-Plagiocephaly is the most used diagnosis code. It encompasses babies with both plagiocephaly and brachycephaly diagnosis.

Q75.0 would only be used post-operatively following surgical correction of Craniosynostosis.

What type of service does this relate to for insurance?

Could be any of the following depending on your specific insurance plan:

  • DME
  • Orthotic
  • Prosthetic
  • All other types of service
What is the cost of DOC Band treatment?

Due to individual insurance contracted rates and your specific policy benefits, we will be able to give a better quote of your estimated cost share once our Insurance team have verified your benefits after the free evaluation.

What is the difference between Prior Authorization and Pre-Determination?

Prior authorization is a pre-service review that is required by your insurance policy. Insurance typically reviews for either medical necessity, benefit coverage, or both. If authorization is not submitted prior to treatment, your insurance plan can penalize or deny paying for treatment solely on this basis. Additionally, many cases require waiting for a final determination before beginning treatment.

A pre-determination is a voluntary pre-service review. Your insurance plan will not penalize you for not submitting the review, but it is offered to you due to the specific nature of the DOC Band treatment. Like a prior authorization, the review is for medical necessity, benefit coverage, or both.

Neither prior authorization or a pre-determination is a guarantee of payment from an insurance provider, even when approved.