Dear Patient or Guardian,

The staff at Front Range Rx / Murphy Time lnc. is pleased to welcome you to our durable

medical equipment hearth care services.  Front Range Rx understands the

importance of providing Durable Medical Equipment that enhances independence and improve your quality of life.  Our commitment is to provide care and services in the most respectful and least intrusive manner possible.

Contact Info: Office: 720-829-4400 Fax: 303-200-7980 Email :greg@frontrangerx.co

Website: frontrangerx.co

1801 Wewatta St. Floor 11 #55 Denver.CO 80202

If you have additional questions or need any other assistance, please call 720-829-4400

and speak to one of our friendly and knowledgeable staff members.  Our office hours are

Monday through Friday from 8:00am-4:00pm, and Saturday and Sunday 8:30am-4:00pm.  lf

you are having a life-threatening emergency, call 911 immediately.  If you have any

equipment related questions, please contact Front Range Rx 24 hours a day, 7 days a week.

Front Range Rx will respond to patients with any questions, comments, or concerns you may have.  We want to hear from you!  ln an effort to improve the quality of care, we frequently document customer communications.  Formalizing your questions allows us to improve our organization and the care we provide.  Please contact Front Range Rx to file a complaint, if we can't resolve your complaint, please call: The Compliance Team at 215-654-9110 or email them at thecomplianceteam.org.

Throughout the provision of your care, you will receive a formal customer satisfaction survey via phone or email.  If you need a HIPAA privacy notice, please contact our office or visit our

website.

Your insurance will be billed for the nebulizer. If you are In-Network we will honor the price the insurance company has contracted for the equipment.  If you are Out-Of-Network or uninsured, Front Range Rx will bill the patient or guarantor.  The patient responsibility will be $100 for the nebulizer if you are Out-Of-Network or uninsured. You are more than welcome to check if your goods will be covered. Your insurance company will need these HCPCS codes: E0570, A7005, A7015 for the nebulizer.

We wish you a warm welcome to Front Range Rx / Murphy Time lnc. and look forward to

providing you with products and services to fit your needs. For more information on products, HIPAA, or to your rights and responsibilities, please visit our website at frontrangerx.co

Thank you