Hotline staff members review denied or underpaid claims, explain appeal procedures, make suggestions for re-submissions, and follow up throughout the appeal process. Often, insurers need time to review documentation and make a prior authorization decision. Contact the hotline as soon as you learn that a patient is to be scheduled for surgery, at least 3 - 5 days in advance, when possible. Outcomes Services Inc. The primary purpose of the hotline is to provide information to help you understand insurers' policies. Guilford Pharmaceuticals Inc. and Covance cannot guarantee that you will be successful in obtaining insurance payments.
Numerous factors affect third-party payment for medical products and services.
Hotline staff cannot anticipate or resolve all of these situations.