Complicated prior authorization and appeals processes can make navigating reimbursement processes difficult and time-consuming for patients. And, for underinsured and uninsured patients, the cost of some therapies can put the hope of treatment out of reach. Our patient reimbursement services – delivered by our compassionate, multilingual, accessible patient services team – can help patients break through these barriers.
- Benefits investigation: We verify patient eligibility prior to billing, and keep patients, caregivers and providers updated on the status of verification.
- Prior authorization and appeals management: We collaborate with the prescribing physician’s office to electronically submit payer-specific forms for prior authorization. When an appeal is required, we initiate and coordinate up to three levels of appeals.
- Claims tracking, billing and coding: We work with patients and providers to identify and resolve billing questions, coding errors and form-completion issues. We assist with resubmission of claims and provide you with aggregate data regarding common claims errors, to help you mitigate reimbursement obstacles in the future.
- Multi-enrollment user portal: Our portal makes it easy to enroll multiple patients in patient support programs at once. Additionally, for pharma companies with rebate programs for multiple drugs, our multi-enrollment user portal streamlines the process of enrolling patients across therapies.