This topic is about finding a new in-network ostomy supplier after Medline announced it would no longer be part of the mother's insurance network. The mother has a colostomy and uses ConvaTec products, so the family is looking for reliable suppliers that work well with insurance plans and also wants to know which suppliers to avoid.

Here are some helpful insights and advice:

- The family has already opened an account with Byram Healthcare, as Comfort Medical now only carries Coloplast products.
- They are curious about how quickly Byram sends invoices after shipping and whether insurance claims for ostomy supplies appear in the insurer’s online claims portal, as they expect a 20% coinsurance.

Suppliers rated highly by multiple members:
1. Byram Healthcare: Generally reliable, ships in 2–3 days, invoices typically arrive the month after shipment. Some partial stock issues reported for accessory items.
2. Comfort Medical: Known for good customer service and deliveries, but now only handles Coloplast products.
3. Liberator Medical: Recommended for ConvaTec users, with no reported insurance hassles.
4. Shield Healthcare (WA state), Nextra, Mega Medical (offers bulk discounts on more than 10 boxes), and Bryham* noted as “number one” by one user.
5. 180 Medical: Carries Hollister and Coloplast but not ConvaTec, with some users experiencing no call-backs.

Suppliers members caution against:
1. Edgepark: Reports of over-charging, incomplete or missed shipments, aggressive billing, frequent back-orders, and repeated verification calls. A minority of users have had no problems.
2. AdaptHealth / Patient Care Solutions (formerly McKesson): Reports of chronic order errors, limited online ordering, long phone waits, confusing bills, and unexpected “not covered” notices.
3. Prism: Will ship only Safe n Simple accessories unless paid out-of-pocket, with limited brand selection.

Ordering & billing tips:
- When placing the first order, request all possible items (paste, barrier rings, powders, adhesive remover wipes, etc.) so the doctor’s authorization is already on file. Adding new items later can delay future orders.
- Insurer case managers can provide an up-to-date list of in-network DME suppliers.
- Supplier invoice plus the insurer’s Explanation of Benefits together show total cost, insurance payment, and the patient’s 20% responsibility.
- Bills typically follow one month after shipment; monitor both the supplier invoice and the insurer portal to verify accuracy.

Accessory & product notes:
- Samples: Call individual manufacturers (ConvaTec, Coloplast, Hollister) to request trial products that the current supplier doesn’t stock.
- ConvaTec Durahesive had excellent adhesion for some users; others later switched to the “starfish” design barrier from Coloplast when skin pH changed.
- Aloe Vesta skin-cleansing spray and AllCare sticky barrier wipes can be purchased through Amazon if a supplier is out of stock or charges extra.

(*Bryham spelling as provided by poster.)