A manufacturer was building a buy and bill channel. For this model, coding, coverage, and payment all have to align before accounts can use a product with confidence, and unanswered questions in any one area can slow adoption.
PRO worked with stakeholders to connect the dots between coding, coverage, and payment. Our access teams educated accounts on purchasing and billing considerations, clarified coverage and payment requirements, and helped everyone stay aligned on approvals, coding, and next steps. Teams also gathered the claim barriers providers reported so the manufacturer could respond to them.
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CONCLUSION
Buy and bill volume grew 190% in Year 3 and 254% in Year 4. When coding, coverage, and payment are clear, accounts can focus on getting patients to treatment. PRO-spectus access teams help keep everyone aligned from approval through payment. Learn more about our Market Access and Reimbursement services.