ReActiv8 Support & Verification Program
Coverage for ReActiv8
Mainstay Medical’s ReActiv8 Support & Verification Program (RSVP) is facilitated by experienced patient access specialists who will work directly with you, your provider, and your health insurance company in an effort to obtain coverage for the ReActiv8 system. With your consent, the RSVP team will submit a prior authorization request (if applicable) and appeal service denials, until a final decision is made. Although there can be no guarantee of coverage approval, our program continues to work on your behalf until all avenues are exhausted.
ReActiv8 is a novel therapy designed to restore neuromuscular control of your spine, increase function, and decrease pain.
Start Your ReActiv8 Journey Today
Please fill out the following form to enroll in the RSVP program.
Increasing your Access to ReActiv8
The RSVP Program can increase your access to ReActiv8 therapy through the submission of comprehensive requests for prior authorization, patient-based appeals with insurance companies, and external reviews if necessary.
Prior Authorization & Appeals Process
Request For Prior Authorization
Your healthcare provider will provide clinical documentation to support a letter of medical necessity to your insurance company requesting prior authorization for ReActiv8. If your health plan approves, no further action is required, and the ReActiv8 procedure may be scheduled.
This process may take 15-30 days once the request is submitted.
The Internal Appeals Process
If your health plan denies your prior authorization request, an RSVP Prior Authorization Specialist will help to submit an appeal letter with your clinical records on your behalf in an effort to demonstrate medical necessity. Our team will seek up to two levels of internal appeals on your behalf, although your plan may only require one level. If the plan approves, no further action is required and your ReActiv8 procedure may be scheduled.
This process may take 30-45 days after an appeal is submitted. If a second internal (Level 2) appeal is available, it may take an additional 30-45 days.
Your Right To An External Appeal
If your health plan denies your internal appeal(s), you may be able to request an External Review with an Independent Review Organization (IRO). An RSVP Prior Authorization Specialist will facilitate this process on your behalf. The decision of the IRO is binding and represents the last step in the appeals process.
This process may take 45-60 days once the external review request is submitted.
RSVP Support Line Hours
Monday through Friday 8:30am – 5:00pm PST