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Our Services Coverage

Benefits Investigation

 

Why is a benefits investigation important?

 

Avastin Access Solutions conducts a Benefits Investigation (BI) to help you better understand your patient's health plan coverage for some or all of the costs associated with Avastin treatment. The BI can also determine if a prior authorization or patient assistance might be needed.

 

To have Avastin Access Solutions conduct a BI, all you need to do is request our assistance on the signed Statement of Medical Necessity (SMN) form.

 

 

 

There are 3 possible outcomes of a BI:

  • Treatment is covered
  • Prior authorization is required
  • Treatment is denied

 

To begin with Avastin Access Solutions, you must complete and submit the SMN and have your patient complete and submit a Patient Authorization and Notice of Release of Information (PAN) form.

 

The SMN can be submitted online via My Patient Solutions or downloaded from Forms and Documents.

Patients can access the PAN through Forms and Documents or submit the PAN online here.

 

This description of a BI is for informational purposes only. The completion and submission of a BI are the responsibility of the patient and your office. Avastin Access Solutions makes no representation or guarantee concerning reimbursement or coverage for any service or item.

 

Prior Authorization

 

Avastin Access Solutions can help your practice identify whether a prior authorization (PA) is needed and help you in the process of securing it. All we need to begin are a completed and signed Statement of Medical Necessity (SMN) form requesting our assistance with the PA as well as a signed and dated Patient Authorization and Notice of Release of Information (PAN) form.

 

 

 

 

Avastin Access Solutions can help you as you submit the required PA forms and documentation. If the PA is not granted, Avastin Access Solutions can work with you to determine your next steps. Tips like this can be found in Forms and Documents.

Below are some helpful files for handling prior authorizations. Download will occur automatically on selection.
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