We build an accurate and optimal case for insurer approval, we manage authorizations and reimbursements, and we finance the device

• We collect patient and case data and records in support of successful first-pass payer authorization for the device.  At the physician’s request, we will manage approval for the implant procedure as well
• We pre-screen this information prior to engaging with payer(s) verifying that it is optimal, complete and accurate.  Where necessary, we provide guidance on documentation and coding in further support of first-pass authorization for the device.
• Once we have the right documentation to best supports the case, we engage with the payer for device authorization.
• If pre-authorization is rejected, we work with the physician to prepare a response that further supports the case and reengage with the payer
• Once the payer approves the device, we buy it from the manufacturer.
• The device manufacturer’s representative delivers the device on the day of the procedure as he/she would normally.
• We manage reimbursement for the device from the payer