Ascend Medical Solutions
Insurance Coverage Made Simple
Ascend Medical Solutions helps patients, caregivers, providers, and facilities understand coverage requirements for durable medical equipment and medical supplies.
Coverage Notice
Coverage is not guaranteed. Products and services are subject to medical necessity, payer guidelines, eligibility verification, documentation requirements, prior authorization requirements when applicable, and product availability.
Insurance We Accept
Currently accepting Medicare, Maryland Medicaid, Virginia Medicaid, Priority Partners, Wellpoint Maryland Medicaid, Cigna, and Cash Pay patients. Additional commercial insurance plans may be accepted when applicable as new provider agreements become available.
Medicare
Medicare DMEPOS requests are reviewed for applicable items.
Referral CenterMaryland Medicaid
Maryland Medicaid requests are reviewed when documentation is available.
Referral CenterVirginia Medicaid
Virginia Medicaid requests are reviewed according to payer requirements.
Referral CenterPriority Partners
Priority Partners requests are reviewed according to plan requirements.
Referral CenterCigna
Cigna DME requests are reviewed according to the member's specific plan requirements, eligibility, medical necessity, documentation requirements, and prior authorization requirements when applicable.
Referral CenterWellpoint Maryland Medicaid
Wellpoint Maryland Medicaid DME requests are reviewed according to the member's specific plan requirements, eligibility, medical necessity, documentation requirements, and prior authorization requirements when applicable.
Referral CenterHow Coverage Review Works
Referral
Start with a product request and patient details.
Eligibility Review
Ascend reviews available payer and benefits information.
Documentation Review
Orders and clinical notes are checked for required details.
Approval / Coordination
Ascend coordinates next steps or requests missing information.
What Documentation May Be Needed
Physician Order / Prescription
Signed order for the requested item.
Clinical Notes
Documentation supporting medical necessity.
Insurance Card
Current payer or plan information.
Face Sheet
Patient demographics when available.
CMN / DWO
Required forms when applicable to the product or payer.
Prior Authorization
Prior authorization information if required.
Delivery Address
Best delivery location and contact information.
Covered Product Categories
Insurance & Coverage FAQ
Does insurance guarantee coverage?
No. Coverage is not guaranteed and depends on payer rules, eligibility, medical necessity, documentation, authorization requirements, and product availability.
How long does verification take?
Timing varies by payer, product type, completeness of documentation, eligibility status, and whether prior authorization is required.
What documents are needed?
Common documents include a physician order, demographics, insurance card, clinical notes, and CMN or DWO documents when applicable.
What if prior authorization is required?
Ascend can assist with gathering required information, but payer review and approval timelines vary and approval is not guaranteed.
Can patients request products directly?
Patients and caregivers may contact Ascend, but some products require physician orders, medical necessity documentation, and payer-specific review.
What happens if insurance does not cover the item?
Ascend can discuss available next steps, which may include additional documentation review, alternate product options where appropriate, or private pay options.
Final coverage and fulfillment depend on payer review, required documentation, authorization when applicable, and product availability.
Have Questions About Insurance Coverage?
Contact Ascend Medical Solutions for product availability, documentation requirements, and referral coordination.