2014 Hotline Success Case 2: Successful Operation of Hotline to Support Medicare Coverage with Evidence Development (CED)

The Global Integrated Reimbursement Services (GIRS)  InContact Reimbursement Line™ conducted a benefit verification with a Medicare supplemental plan for a patient enrolled in a Medicare National Coverage with Evidence Development (CED) study.  We found out that the Product was covered and the patient had zero responsibility for copayments and coinsurance.  The detailed and specific guidance on all the requirements for claims submission provided to the facility assisted them in meeting the payer needs for claims submission and the processing of claims.