Avastin 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 insurance plan
coverage for the costs associated with treatment. The BI can also
determine if a prior authorization (PA) or patient assistance might be
needed.
There are 3 possible outcomes of a BI:
- Treatment is covered
- PA is required
- Treatment is denied
To begin with Avastin Access Solutions, you must complete and submit a Statement of Medical Necessity (SMN) form and have your patient complete and submit a Patient Authorization and Notice of Release of Information (PAN) form. To request a BI, be sure to check the appropriate box on the SMN.
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.
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 if a prior
authorization (PA) is needed and offer support as you obtain it for
your patient. 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.
Latest Updates
Form:
Statement of Medical Necessity (SMN)
Form:
Patient Authorization and Notice of Release of Information (PAN)