Gender-affirming electrolysis covered by insurance

At eleQTro spot, we are dedicated to making gender-affirming electrolysis accessible by accepting many insurance plans. With our expert guidance and personalized client care coordination, we are here to help you navigate the referral and authorization process for your patients. We accept authorized referrals only. Please read below for the process to refer a patient to us.

How to refer a patient to eleQTro spot for gender-affirming electrolysis

We are in-network with Kaiser and Vivant for Molina Health members. We also have experience working with Anthem, BlueShield of California, Western Health Advantage, HealthNet, Partnership Health Plan, United Healthcare, and Sutter Medical Group. Regardless if we are in-network or out-of-network, we are willing to work with most insurance plans, including Medi-Cal health plans. Depending if we are in-network or out-of-network, follow the steps below. We only accept authorized referrals.

In-network referrals

Initiate a referral authorization request through patient’s insurance and include eleQTro spot as the provider. It is very important to include this information in your authorization request:

  1. eleQTro spot NPI (1336963321) and Tax ID (99-4912360)

  2. Specify the treatment area. Each of the following is considered one treatment area and requires its own authorization:

    • Face/neck

    • Chest

    • Bottom surgery site preparation (must include a treatment diagram from the surgeon for this area)

  3. Medical justification from the licensed referring medical provider must be included in the referral authorization request (usually included in the visit progress note or as an attached letter)

  4. CPT Code 17380 - Electrolysis

  5. Standard units to request is 120 units for 12 months

Out-of-network referrals

Initiate an out-of-network referral authorization request through patient’s insurance and include eleQTro spot as the provider. It is very important to include this information in your out-of-network authorization request:

  1. Reason for out-of-network request: no in-network providers exist for this type of service

  2. eleQTro spot NPI (1336963321) and Tax ID (99-4912360)

  3. Specify the treatment area. Each of the following is considered one treatment area and requires its own authorization:

    • Face/neck

    • Chest

    • Bottom surgery site preparation (must include a treatment diagram from the surgeon for this area)

  4. Medical justification from the licensed referring medical provider must be included in the referral authorization request (usually included in the visit progress note or as an attached letter)

  5. CPT Code 17380 - Electrolysis

  6. Standard units to request is 120 units for 12 months

Fax the authorized referral to us. Our fax number: 916-244-4804

Need help? contact us
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