POA Pharma North America® will help you and your patients understand the specific coverage and reimbursement guidelines for our products. Metabolic and Medical food formula coverage could be frustrating to understand and challenging to get the proper coverage. Our specialist will help alleviate your time and frustrations by holding your hand through the Metabolic and Medical food coverage process.
Reimbursement support services include:
- Insurance Benefit Verification.
- Prior authorization and appeals process management.
- Denied/Underpaid Claims Assistance.
- Supplier assistance to support timely access to your product and monitoring of dispensing.
- Bridge programs that provide temporary free product to patients if they experience a delay or lapse of insurance coverage.
POA Pharma North America Patient Care enrollment
Services can be initiated with the completion of our Enrollment Form
Download the HIPAA Patient Care Enrollment Form
Completed forms should be faxed to 1-973-387-1223.
A completed form includes signatures from both physician and patient, a copy of your insurance card(s) front and back. Before submitting, please ensure all required information is provided.
POA Pharma North America do not guarantee coverage and/or reimbursement for any of our products. Coverage, coding, and reimbursement policies vary significantly by payer, patient, and setting of care. Actual coverage and reimbursement decisions are made by individual payers following the receipt of claims. Patients and healthcare professionals should always verify coverage, coding, and reimbursement guidelines on a payer and patient -specific basis