GIRS worked successfully with a very large, popular mid state insurance company, to verify the coverage of a Biologic Product and to open the door for future positive coverage for the Product. When speaking with the payer representative, GIRS discovered that the Product HCPCS code was not listed as a valid or billable code. The GIRS Payer Advocacy Compass (PAC) team worked successfully with the payer to develop a strategy so the patients could receive treatment in the future. The payer representative suggested, due to the inquiry of the PAC Team, that providers can conduct a pre-determination beforehand, and if it the treatment was medically necessary, the Product would be covered. The payer representative then gave the fax number of the Clinical Review Department and informed the PAC Team that all supporting documents need to be faxed to this number for medical policy review. The CMO of the payer also agreed to review the payer dossier that would present the clinical data for the coverage of the Product by the next review timeline.