TABLE 3.

18F-FES Access Support

CategoryReimbursement service
Investigation of benefitsAid in determining patient’s health insurance coverage
Billing and coding assistanceProvide guidance for billing and coding requirements
Claims assistanceHelp in navigating through claims process
Preservice and postservice appealsAid in assisting with and expediting these appeals
Prior-authorization support and status monitoringHelp with initiating and monitoring prior-authorization requests from insurance companies (prefill request on your behalf)
Medical necessity supportProvide support to establish medical necessity
Peer-to-peer preparationProvide one-on-one collaborative training and strategies to assist health-care provider in seeking 18F-FES insurance coverage