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Physician Services

Patient Eligibility Verification 

Prior to rendering service, Western Drug Medical Supply will confirm coverage, co-payments, and deductibles through eligibility and benefits verification. By verifying eligibility, we can determine a patient’s medical insurance coverage status prior to the delivery of service or equipment. Additionally, we are able to obtain accurate demographic information which is vital during the claims process. Other benefits include: 

  • Verify whether a patient's plan is inactive  

  • Check for primary and secondary insurance 

  • Confirm that the services are covered under the patient’s insurance policy and whether a referral or prior authorization is needed 

  • Ensuring that referrals and authorizations are approved, entered in the system, and linked to the correct service type 

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Coordination of Benefits 

Sometimes two insurance plans work together to pay claims for the same person. That process is called coordination of benefits. Insurance companies coordinate benefits to: 

  • Avoid duplicate payments by making sure the two plans don’t pay more than the total amount of the claim 

  • Establish which plan is primary and which plan is secondary—the plan that pays first and the plan that pays any remaining balance after your share of the costs is deducted 

  • Help reduce the cost of insurance premiums 

Compliance Monitoring of Prescribed Care  

Western Drug Medical Supply provides CPAP & BiPAP equipment with built-in SD card slots that store electronic data. Each CPAP/BiPAP machine stores information related to your use of your CPAP/BiPAP device, including: 

  • Total hours of active CPAP therapy 

  • Total hours of blower usage 

  • Mask leak-rate 

  • Number of days above four hours of usage 

  • Your apnea/hypopnea index (AHI) 

SD card monitoring makes it easy for you to report your exact CPAP usage to your sleep clinic or physician. Clinic technicians can download the data off of your SD card and see exactly how well you're complying with your recommended therapy. 


In Office In-Services 

Western Drug Medical Supply can provide in-person In-services for health care professionals within Health Plan, Hospital and Medical Group Settings. Our Liaisons or Account Executives can prepare valuable presentations for Physicians, Case Managers, Discharge Planners and Utilization Management departments. The topic discussed can be customized for a specific need or purpose and may include the following: 

  • Medicare and Medi-Cal Coverage Guidelines 

  • New Product Introductions 

  • Industry Updates and Trends 

  • Product & Vendor Collaborations