Richey & Co. has specialized forms to help streamline our pedorthic process and improve care to our pedorthic clients.

For an overview of which forms are required for pedorthic services, see our Guide to Insurance Paperwork for Pedorthic Items.

If you are interested in Pedorthic services to be billed to private insurance, you will need the:

• Letter of Medical Necessity and Pedorthic Rx Form

If you are interested in Pedorthic services as part of the Therapeutic Shoes for Diabetics, you will need the:

• TSD Medicare Package with all forms and complete Instructions

Doctors: These forms cross reference to our Post Tib Protocol.

We are contracted with the following medical insurance companies. For information about their rules and regulations regarding coverage of pedorthic devices, co-payments, and deductibles, please contact them directly.

Medicare
Carefirst BCBS
Anthem BCBS
BCBS North Carolina
Injured Worker's Insurance Fund

 

Additional Sources of Information
• American College of Foot and Ankle Surgeons: (1-800-421-2237)
• American Orthopedic Foot and Ankle Society: (1-206-223-1120)
• American Physical Therapy Association: (1-800-999-2782)
• American Podiatric Medical Association: (1-800-275-2762)
• Pedorthic Footwear Association: (1-800-673-8447)

The information provided by Richey & Co. should never take the place of advice and guidance from a doctor. Be sure to check with your doctor about changes in your treatment plan. If you don’t have a doctor, we would be happy to provide you with a list of several health care providers near our facilities.

We Encourage Patients With More Complex Cases To First
Make An Appointment.