Reimbursement

The WATCHMAN™ portal is an educational service for use by practicing physicians and allied healthcare professionals. The WATCHMAN portal is not intended for patients or consumers.
Health economic and reimbursement information provided by Boston Scientific Corporation is gathered from third-party sources and is subject to change without notice as a result of complex and frequently changing laws, regulations, rules and policies. This information is presented for illustrative purposes only and does not constitute reimbursement or legal advice.
WATCHMAN Payer List
File Type: PDF
A full list of all private and public plans that cover the WATCHMAN implant
WATCHMAN Reimbursement Guide
File Type: PDF
This comprehensive guide provides an overview of the coding, coverage and payment landscape for the WATCHMAN system.
WATCHMAN Claim Form 1500
File Type: PDF
This document is intended to aid individuals submitting professional service reimbursement claims for the WATCHMAN procedure.
WATCHMAN CMS Inpatient UB-04 Claim Form
File Type: PDF
This document is intended to aid hospitals submitting reimbursement claims for the WATCHMAN procedure.
Supporting Patient Access to the WATCHMAN LAAC Therapy
File Type: PDF
The following information is provided to assist providers in addressing patient-specific insurance requirements for the WATCHMAN LAAC implant procedure and associated services.
WATCHMAN Provider Intake Form
File Type: PDF
This document is intended to assist with prior-authorization of the WATCHMAN therapy.
WATCHMAN Prior Authorization and Appeal Request Form
File Type: Word
This form is intended to assist with the prior authorization and appeal process.
WATCHMAN Sample Letter of Medical Necessity
File Type: Word
Template to assist with prior authorization of the WATCHMAN Therapy based on utilizing the criteria of the NCD.
WATCHMAN Sample Appeals Template
File Type: Word
Template to assist providers with appealing denials by utilizing the criteria of the NCD for percutaneous LAAC therapy in referencing patient’s eligibility.
WATCHMAN Physician Peer to Peer Appeal Guide
File Type: PDF
Quick reference guide intended to support peer-to-peer appeal conversations between the implanting physician and health plan Medical Directors following denial of coverage for the WATCHMAN (LAAC) Device.
WATCHMAN Approval/Coverage Status & Clinical Evidence Summary
File Type: PDF
This document has the FDA/coverage status and clinical evidence summary. This comprehensive information is intended to be used to support the prior authorization, appeal, and peer to peer processes.
Shared Decision Making Brochure
File Type: PDF
Brochure to overview shared decision making, a collaborative process that allows patients and their providers to make health care treatment decisions together.