For U.S. Sales

1. Obtain Standard Written Order / Prescription

A complete prescription should include the following: patient’s name, date of birth, diagnosis codes, device ordered, duration of use (e.g. 1 to 5 months), and physician’s signature.  JAS may need to request additional documentation based on the patient’s insurance requirements.

Standard Written Order

2. Doctor’s Notes and Physical/Occupational Therapy Notes

Doctor’s Notes: Op Note and 2-3 of the most recent office visit notes

PT/OT Notes: Initial Evaluation and 2-3 of the most recent progress notes.

3. Submit Patient Information or Demo Sheet and Measurement Forms

Submitting the measurements with the initial order expedites the order process.

Patient Information Form - All orders require a patient information form to be submitted.

Measurement Forms - Fill out the appropriate measurement form.

4. Send documents to JAS

For new orders, send prescription, chart notes, patient information form, measurement form and a copy of front and back of patient’s insurance card to FAX: 217-347-3384 or email orders@jointactivesystems.com Please allow 24 hours for order entry.  If you do not receive an order confirmation within 48 hours, please contact us at 800-879-0117.

If you’re sending in additional documents to complete an existing order, email them to missinginfo@jointactivesystems.com.

Next Steps

JAS will obtain benefits, contact the patient, and handle authorization and billing procedures.  Your local JAS representative will contact you or the patient to arrange for a fitting appointment.  

In order to comply with state or insurance regulations, JAS may need to route orders through a local licensed specialist.  If you have any questions or would like to speak to a JAS representative call our office, toll-free: 800-879-0117

If you have any questions or need additional help with an international order, contact our international sales department by emailing internationalsales@jointactivesystems.com or calling 217-342-3412