| What does an insurance verification provide? Insurance coverage can vary greatly, as can insurer-billing requirements. Amgen's Reimbursement Connection® is designed to assist you in navigating the insurance maze. Amgen's Reimbursement Connection® will help verify your patient's benefits and identify insurer coverage guidelines. If it is determined that a prior authorization is needed, Amgen's Reimbursement Connection® staff will help research your patient's prior authorization requirements to assist you in obtaining authorization before treatment. Who can utilize insurance verification assistance services?Providers, administrators, and patients can call Amgen's Reimbursement Connection® to request insurance verifications. How do I request insurance verification assistance?Providers, administrators, and patients simply call Amgen's Reimbursement Connection® at 1-800-272-9376 to begin the process. The process will require a signed patient consent form and insurance verification request form, examples of which can be seen on the following pages.* How long will an insurance verification take?The vast majority of insurance verifications are completed within 48 hours of a complete request. Insurance verification resultsAmgen's Reimbursement Connection® will fax a patient insurance verification results form to the provider. The form will provide a detailed summary of the patient's coverage including available distribution channels, copayment requirements, deductibles, and prior authorization requirements.
Process for Obtaining Insurance Verification Assistance
Insurance Verification Frequently Asked Questions Can I submit an insurance verication online? Due to written patient consent requirements, we are unable to process online insurance verification requests. Why do we need written authorization to use Amgen's reimbursement and patient-assistance services?California's privacy laws require a patient's written authorization be obtained before identifiable health information can be disclosed to or received by a third party outside of the treatment paradigm. In order to comply with these laws, Amgen's reimbursement support programs, including Amgen's Reimbursement Connection®, must have a copy of Amgen's Authorization for Disclosure of Health Information form signed by each patient before any insurance benefit research HIPAA sets a federal floor for patient privacy protections, and states may promulgate stricter privacy rules to protect its citizens. Amgen's corporate headquarters are in California. So, in addition to HIPAA, Amgen must comply with California's more stringent privacy rules and regulations, which require a patient's written authorization in order to obtain and disclose identifiable patient information. What if my patient does not have eligible coverage?If the patient is unable to afford their medications, Amgen's Reimbursement Connection® will refer the caller to alternative sources of drug coverage such as patient-assistance programs and foundations supported through federal and state funds, as well as corporate and nonprofit organizations. Am I limited in frequency of use?No. If you have insurance coverage situations that are challenging, you may use Amgen's Reimbursement Connection® for support when needed. * Before providing any patient-identifiable information (including name, Social Security number, address, ZIP code, insurance policy number, or employer) to Amgen's Reimbursement Connection® staff, the provider must have the patient's written authorization to disclose such information for purposes of seeking reimbursement assistance, and provide such written authorization to Amgen's Reimbursement Connection®. |
