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Coding Info |
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Suggestions and |
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Procedures |
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Suggestions and |
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Procedures |
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Checklist |
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Insurance Overview |
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CORE Hotline |
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Patient Assistance |
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Program |
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Glossary |
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How To Register |
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Contact Us |
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| Reimbursement | FAQs |
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Q: How do I verify my patient's benefits?
A: Coverage for medications and treatments can vary greatly from one health plan policy to another. CORE can contact health insurance companies to verify a particular patient's benefits and determine coverage. For assistance in verifying coverage, contact the CORE Hotline at 1-866-261-7730. Authorization from the patient is required. See How to Register for instructions on enrolling your patient in CORE.
Q: Does CORE provide assistance with obtaining reimbursement for remaining charges not covered by the patient's primary insurance company?
A: Yes. CORE can provide you with contact information to copayment foundations who may be able to assist your patients.
Q: Does CORE bill claims?
A: No. CORE does not provide billing services.
Q: Why does CORE ask for medical documentation?
A: In order for CORE to provide reimbursement information on the patient's behalf, it is necessary to obtain medical documentation that is based on the patient's clinical situation and the payor's coverage requirements.
Q: Do patients need to be registered with the CORE program before their treatment?
A: No. Registration in CORE is only required for reimbursement assistance. See How to Register for more information.
Q: My patient's insurance has denied the claim. What is my next step?
A: See Appeals for information on the appeals process. If you would like to register your patient in CORE for appeal assistance, see How to Register for instructions.
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