The
Program offers comprehensive assistance for insurance-related issues:
Billing issues—Contact the hotline for assistance
obtaining appropriate billing codes required on
medical claims or if you need additional
documentation to submit with your claims
Insurance verification—The hotline representative
will contact your insurance company to determine in
advance how it will pay for the Ovation product or
related procedure in which you are interested
Prior authorization support—The hotline
representative can help facilitate the prior
authorization process by determining requirements,
coordinating paperwork, and following up on the final decision
Insurer education—Representatives who staff the
hotline can help educate insurers about Ovation
products to expedite coverage and payment
Policy monitoring—The Program monitors public
and private payor coverage policies to ensure you have
the most up-to-date coverage information. Representatives will
also answer any questions you have about insurance coverage
and reimbursement related to Ovation products
Coverage appeals—A hotline representative will
review denied claims, explain appeal procedures,
make suggestions for resubmissions, and follow-up
throughout the appeal process
Alternate funding & patient assistance referrals and
screening—The
hotline staff can research alternate forms of coverage available
to patients and make appropriate referrals, and if necessary,
screen patients who have proven financial need for the
Ovation Patient Assistance Program
