Matia Mobility provides this service to help streamline the process of securing insurance coverage, making it easier, faster, and more efficient for you to get the approvals you need. Please fill out the form below as completely as possible and one of our insurance experts will be in touch with you.

Matia Mobility Letter of Medical Necessity

MedicalNecessityForm

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Item:               E1399 – Tek RMD M1

Letter of Medical Necessity

Please feel free to add any additional, patient specific comments in the space below. When you are done, please press the SUBMIT FORM button at the bottom. Thank you.