background image

1

Patient financial obligations and billing information

Our Notice of Privacy Practices is available for your review at 

www.preventicesolutions.com

On behalf of your physician, you are being provided with a heart monitor from 

Preventice Services

This test will be billed in two parts: 

1.  Your medical professional will bill your insurance

 for the in-office hook-up and the final 

reading of the test results. 

2.  Preventice Services will bill your insurance

 for the use of the monitor along with providing 

the physician with monitoring center service and all requested data and reports 24 hours a day, 

7 days a week. 

All equipment is the sole property of Preventice Services. To avoid financial liability and to ensure 

that you do not receive a bill for the value of the equipment in your possession (up to $750), please 

return the equipment immediately after your service ends. Any request for an extension of your 

study beyond your prescribed study needs to come from your physician through a new order sent to 

Preventice Services. Be aware that the second study may not be covered by all insurance providers 

and you may be responsible for those charges.

Your insurance company will usually send you an Explanation Of Benefits (EOB) describing the 

amount paid and the amount you owe Preventice. 

An EOB is not a bill

. Our goal is to help your 

physician diagnose your heart condition without delay or concerns about billing. We offer patient-

friendly payment options, including a discounted rate at the time of service or a reduced rate when 

your insurance indicates a large fee payable by you for our services or the physician’s services.

Summary of Contents for PER900

Page 1: ...Preventice Services LLC and Preventice Technologies Inc are independent wholly owned subsidiaries of Preventice Solutions Inc Patient Instruction Manual PER900 ...

Page 2: ...e that you do not receive a bill for the value of the equipment in your possession up to 750 please return the equipment immediately after your service ends Any request for an extension of your study beyond your prescribed study needs to come from your physician through a new order sent to Preventice Services Be aware that the second study may not be covered by all insurance providers and you may ...

Page 3: ...s designed to record potential rhythm problems when you feel symptoms You must use the monitor for the length of time your doctor has prescribed Speaker LED Send Button Record Button Battery Compartment Welcome to the PER 900 For the manufacturer s Instructions for Use visit www braemarinc com pdfs PER900_1 pdf ...

Page 4: ... electrodes make contact with the skin Press the RECORD button for two seconds until an audible sound is heard then release A proper connection will be indicated by an audible heartbeat rhythm during recording Hold as still as possible during the recording but continue breathing normally A phone ring indicates the recording is complete You can remove the monitor from chest Recording an Event ...

Page 5: ...hpiece over the monitor speaker hole Push the SEND button for two seconds until an audible sound is heard The monitor will make sounds while the recording is being sent A falling tone will sound when the transmission is complete Monitor Press and hold the RECORD and SEND buttons at the same time for two seconds Any previously recorded events will be erased Will be followed by a single beep and ris...

Page 6: ...led Very inconsistent tone warble when recording an event Reposition the monitor to obtain a better connection between the monitor and your skin A clean audible heartbeat sound will be heard when a good connection is made Phone ring sound every minute for 10 minutes Memory is full follow instructions To Send and Erase Events Phone ring sound when RECORD button is pushed Memory is full follow instr...

Page 7: ...e the box 2 Remove the adhesive strip from flap on the shipping box and seal securely The prepaid UPS return label is already affixed to the bottom of the box 3 Drop package off at any UPS Drop Box or The UPS Store For assistance call Preventice Services at 888 500 3522 Note If you have lost or damaged equipment Preventice Services will mail you an invoice for the cost of the item ...

Page 8: ...0 p m CST Issues with the monitor Phone 888 500 3522 press 1 1 4 Email monitortroubleshooting preventice com Hours 24 hours a day 7 days a week Monitoring Center Phone 888 500 3522 press 1 1 1 Email lab preventice com Hours 24 hours a day 7 days a week Billing assistance Phone 888 400 3522 Email reimbursementinfo preventice com Hours 8 00 a m 5 00 p m CST General information Phone 888 747 1442 Web...

Reviews: