OMS Pre-Surgical Insurance Support

OMS Pre-Surgical Insurance Support

Otologic Management Services (OMS) is a no-charge service available from Cochlear. OMS helps patients and providers obtain necessary insurance coverage and assistance in appealing denied coverage for Nucleus ® cochlear implant systems and Baha® bone conduction systems.

OMS Contact Information

Call: 1-800-633-4667 option 4

Fax: 303-524-6765

What OMS can provide:

  • Predetermination/Preauthorization assistance (related to surgery and clinical aftercare)

  • Assistance with appeals process, if coverage is denied for surgery and/or clinical aftercare

  • Reimbursement guidance and tools to professionals and facilities

  • Advises providers on billing codes available for cochlear implants and Baha procedures

  • Helps with predetermination, authorizations, and appeals involving clinical studies

  • Administers vaccination program

What will OMS need from patients or providers to get started with the predetermination or appeals process?

  1. Letter of Agreement (only required for new centers upon initial sign up)

  2. Patient information form

  3. Patient release of information form

  4. Patient authorization to provide services form

Additionally, OMS will require a copy of the patient’s insurance card and current, applicable medical records, including audiograms. In cases of appeal, OMS will need a copy of the insurance company’s denial letter, the patient’s insurance benefit book, specifically the exclusion and appeals sections. Upon receipt of the required information, OMS will initiate the predetermination/appeals process with the health plan.

Download the OMS FAQs

Download the Notice of Privacy Practices

Download the Authorization for Release of Health Information - English

Download the Authorization for Release of Health Information - Spanish

Download the Authorization to Provide Services - English

Download the Authorization to Provide Services - Spanish

Download the OMS Clinic Letter of Agreement

Download the OMS Surgical Procedure Authorization Request