Reimbursement &
Benefit Support
Helping you navigate the complexities of insurance
Empowering you to focus on
what you do best
Navigating the insurance landscape can be both daunting and time-consuming. Insurance issues can lead to patient frustrations, delayed reimbursements or even surgery cancellations.
Coloplast Interventional Urology offers comprehensive Reimbursement and Benefit Support. Upon request for you or your patients, our team of experts can assist you and your patients in managing the complexities of insurance and coverage for our products: Titan® and Titan Touch® inflatable penile implants; Genesis® malleable penile implant; Virtue® male sling; and Torosa® testicular implant.
Contact usOur team is ready to help via
Fax: 612-520-2366 |
Support starts with 3 easy steps
Follow these few key steps to get your team set up for fast, efficient service from your Coloplast Reimbursement and Benefits Support team.
| One time only |  Complete the Physician Enrollment Form electronically (if you haven’t already). This form allows you to select and save your preferences. If you wish to print/fax the form, the PDF version is available here. |
| For each patient Both forms are required to complete requests |  Complete the Support Request Form electronically. This form will allow you to select which services you would like us to complete for you and your patients (i.e., benefit verification, prior authorization, appeals, claims assistance). This form requires a physician’s signature. If you choose to use our online version of the Support Request Form, we can accept an electronic signature. If you wish to print/fax the form, the PDF version is available here.
|
Forms can be emailed to US_MarketAccess@Coloplast.com or faxed to Coloplast US Benefit Support at 612-520-2366.
Please do not send PHI without a signed HIPAA Authorization Form.
Benefit verification
Our thorough verification process includes a detailed review of coverage and benefits, including all associated out-of-pocket expenses, so patients are well-informed prior to their surgery. Upon your request, our team confirms all details, including:
- Type of plan and effective dates
- Coverage limits, copayments, and deductibles
- Relevant exclusions
- Any medical policy guidelines for the procedure
- Prior authorization requirements
We provide regular status updates, so your team is in touch with our progress until the full verification process is complete. And if requested by the provider, we can reach out to patients to explain their benefit coverage.
Insurance coverage map
Our interactive map lets you find coverage and policy details with just a few clicks.
- Choose a Coloplast product
- Select a state
- Choose an insurance provider
- Click on “View Payer Info” to see coverage information with a link to the policy details.
Prior authorization
When an insurance provider requires prior authorization, our team streamlines the process for both your practice and your patients, upon your request. We’ll work with you to gather and submit relevant clinical information demonstrating the medical necessity of the treatment and will ensure the information submitted supports the medical necessity guidelines created by the insurance company’s coverage policies.
Claims assistance
Our team will walk you through compiling the proper paperwork, to ensure accurate billing and reimbursement.
If you have a denied claim, our team can call about what is needed to send a corrected claim or figure out the claim issue(s).
At every step, we will proactively communicate about our progress, so you always have insight into the process.
Coding and payment guides
Access our coding and payment guides for accurate code billing support.
2024 Men’s Health US Coding and Payment
Reference Guide – Physician
Exclusions and appeals
If a patient’s prior authorization is denied or not covered, our team is here to guide you through the appeals or exceptions process. We will submit a formal appeal to the insurance company, including any relevant documentation or supporting evidence. We’ll also facilitate the steps of the process, from the initial request for reconsideration to elevating the appeal, through to the independent external review, if that becomes necessary.
Self-service resources
If you prefer to manage an appeal or exception on your own, these pre-written editable templates can help simplify the process and save you time and effort.
| PENILE IMPLANT Appeal Letter | TESTICULAR IMPLANT Appeal Letter |
| PENILE IMPLANT Exception Letter | TESTICULAR IMPLANT Letter of Medical Necessity |
Patient support resources
Discover patient-friendly resources to help you empower your patients to navigate some of the complexities of insurance appeals and exceptions.
Enroll for reimbursement and benefits support today
Ready to get the most out of our insurance and reimbursement services? Complete our one-time Physician Enrollment Form to select your preferences and get your team set up for fast, efficient service from your Coloplast Reimbursement and Benefit Support team.
Disclaimer: Coloplast Corp. provides this information for your convenience only and makes no guarantees, expressed or implied, concerning the accuracy or appropriateness for any particular use of the information provided. It is intended for informational purposes for FDA approved uses only, and is not intended as a recommendation regarding clinical practice. A verification of benefits from Coloplast does not guarantee payment.
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