Our experienced team of over 100 registered nurses, insurance specialists, and customer service representatives is dedicated to providing reimbursement support services on behalf of manufacturers of biopharmaceuticals and medical devices. UBC helps patients, caregivers, and health care professionals navigate the complexities of managed care systems and secure appropriate coverage and reimbursement for innovative therapies.
Investigation of covered benefits
includes:
- Benefit verification
- Patient co-payment requirements
- Annual benefit maximums
- Lifetime benefit maximums
- Product-specific coverage criteria
- Communication of insurance benefits to patients and healthcare professionals
- Assistance with prior authorizations
- Referral status updates
- Guidance and education on denials and appeals
- Identification and research of alternative coverage options
Benefits optimization
Identification of the most cost-effective
benefit option for the patient includes:
- Investigation of covered benefits
- Explanation to the patient of all benefit options, including any associated financial responsibility
- Assistance in locating a site of service which accepts benefit option
- Coding and billing support
Centralized referral management
Single point of referral (SPOR) includes:
- Single point of contact and data management for all product referrals
- Experienced senior clearance specialists and reimbursement specialists
- Assistance to patients, caregivers, and healthcare professionals in establishing coverage
- Triage of referrals to appropriate specialty pharmacy providers to support timely access to the product
- Comprehensive data collection and reporting to manufacturers
