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Prior Authorization (PA) Assistance
If the insurer requires a PA for CUTAQUIG, PANZYGA, or OCTAGAM, Pfizer IGuide™ can help patients navigate the process. Pfizer IGuide™ can:
- Contact the patient’s insurer to identify PA requirements, prepopulating the payer’s PA form with the patient’s demographic information and sending to the HCP for completion and submission
- Follow up with the insurer after a PA is submitted by your office until the insurer makes a final determination
Prior Authorization Form
DownloadAppeals Assistance
If a claim is denied, Pfizer IGuide™ can provide assistance with the appeal process* where appropriate by:
- Investigating the plan’s reason for denying a claim or PA request and determining if and how they may be appealed
- Providing a sample letter of appeal
- Monitoring and following up on the status of an appeal until the payer makes a final determination
*Access Counselors must have patient consent in order to review the coverage details with the patient.
Sample Letter of Appeal
DownloadCoding and Billing Information Assistance
Pfizer IGuide™ can research and provide information on CUTAQUIG, PANZYGA, or OCTAGAM coding, billing, and claims questions raised by your office on behalf of your patients.
Have an eligible patient and want to submit a co-pay claim?
