Case-by-Case Approvals

The key to engaging the Regional Case Manager in the coverage process is a complete Insurance Verification and Patient Education Authorization form, known as an IVEA. Compliant with HIPAA, the IVEA provides the Regional Case Manager with the patient's insurance information, medical history and statement of medical necessity to facilitate timely case by case submissions.   

Case-by-case approvals and/or reimbursement have been obtained from more than 300 different payers since FDA approval in July 2005. 

Additional resources are provided below for your convenience.

Resources:

Agencies and advocacy groups that may provide assistance during the appeals process:

1). Consumer Guide to Handling Disputes with Health Plans:
http://www.kff.org/consumerguide/7350.cfm

2). State’s Insurance Commissioner:
http://www.naic.org/state_web_map.htm

3). Attorneys General by State:
http://www.naag.org/ag/full_ag_table.php

State Legislators and U.S. Senator or House of Representative:

1). National Conference of State Legislators:
http://www.ncsl.org/public/leglinks.cfm

2). House of Representatives:
http://www.house.gov/

3). Senators:
http://www.senate.gov/general/contact_information/senators_cfm.cfm

4) State and Local NAMI's (National Alliance on Mental Illness)
http://www.nami.org/Template.cfm?Section=Your_Local_NAMI&Template=/CustomSource/AffiliateFinder.cfm