REIMBURSEMENT SERVICES

Healthcare Professionals

MYOBLOC Reimbursement Services

The Solstice Neurosciences, LLC (“Solstice”) Reimbursement Services* Team uses a case management approach and is available to help educate you and your staff regarding the reimbursement process for MYOBLOC® (rimabotulinumtoxinB) Injection.

To improve patient access to MYOBLOC:

Solstice offers support services to practices including assistance with:

  • Available public information on billing and coding for MYOBLOC
  • Insurance verification
    • Provide an in-depth review of coverage which includes Coverage Alerts and Action Steps
    • Verify patient insurance eligibility
    • Check medical and pharmacy benefits
    • Clarify copayments and deductibles
  • Prior authorization requests
    • Identify prior authorization requirements
    • Facilitate the prior authorization process
    • Provide a letter of medical necessity template upon your request
    • Provide support to access clinical information that may be needed for claims upon your written request
    • Confirm and validate process activities
  • Claims, denials, and appeals
    • Research reason(s) for denied claims or prior authorizations
    • Facilitate appeal process
    • Provide an appeal letter template upon your request
  • Local coverage policy support

*Reimbursement services are available only for those patients being treated with MYOBLOC for a therapeutic condition for which there is a reasonable expectation of reimbursement from a third-party payer. Physicians are solely responsible for identifying the clinical indication(s) and documenting medical necessity for any use of MYOBLOC. Questions regarding the clinical use of MYOBLOC should be directed to 1-888-461-2255.

See Important Safety Information below.

REIMBURSEMENT SERVICES
Click Here