Derma Sciences Regions Map

Select your location from over 190 countries where Derma Sciences operates.

Reimbursement Forms

Reimbursement Hotline Services Contact Card
Download Integra Reimbursement Hotline Card

Integra Reimbursement Information Request (RIR) Form:
This form should be completed if you are interested in having the Integra Reimbursement Hotline assist with benefits verification or prior authorization.
Download Reimbursement Information Request Form

Template Letters/Forms:
Template letters are provided as examples and for informational use only. They do not represent a guarantee, promise or statement by Derma Sciences, Inc. concerning levels of reimbursement, payment or charges. The decision as to procedure code selection, completion of a claim form and/or amount to bill, is exclusively the responsibility of the provider.
Download Sample Amnioexcel Prior Authorization Letter
Download Sample Amnioexcel Appeal Letter
Download Sample TCC Appeal Letter