Reimbursement Support Line

Bayer HealthCare Pharmaceuticals Oncology offers services to help providers and patients with product-related reimbursement questions. Reimbursement consultants can be reached at the Bayer HealthCare Pharmaceuticals Oncology Reimbursement Support Line: 1-800-321-4669 (9 AM to 5 PM ET, Monday through Friday).

Services Overview
The Reimbursement Support Line team has experience across all payer types, including Medicare. The team closely monitors policy changes, such as recent Medicare reform, to provide accurate and timely information. Questions answered by the team are wide-ranging, but typically can be classified into one of the following groups:

• Benefit Verification: identifies patient-specific product coverage guidelines; can include identification of potential diagnosis restrictions and patient cost-sharing details
• Coding Assistance and Billing Instruction: helps ensure that correct codes (including CPT and HCPCS) and billing units are submitted to the payer*
• Claims Review: prior to claims submission, a team consultant will review claim(s) for completeness and accuracy
• Claims-Appeal Assistance: helps identify the reason(s) for claim(s) denial and collaborates with the provider to create a patient-specific and payer-specific appeal strategy
• Prior-Authorization Assistance: consultants can act as a liaison between payer and provider to determine the prior-authorization process and requirements; can assist the provider in the creation of payer-requested information such as a letter of medical necessity
• Patient Assistance: Bayer HealthCare Pharmaceuticals Oncology offers a program that provides treatment to uninsured patients who meet program criteria

The On-Call Team helps ensure that the Reimbursement Support Line provides the highest level of reimbursement support and patient assistance. The team closely monitors the reimbursement environments for the latest changes in Medicare, Medicaid, and private payer reimbursement and coverage policies. The result is a knowledgeable staff capable of answering calls, processing patient-assistance applications, and providing product-specific support to the provider and patient communities.

*It is the responsibility of the provider to choose the most appropriate code as documented in the patient’s medical chart. Using the assistance of the Reimbursement Support Line in no way guarantees reimbursement.