Services Payors

Assisting patients with their medication reimbursement support needs is an important part of the services we provide.
Our staff understands Payor policies and procedures, prior-authorization guidelines, and utilization-management programs. Our dedicated staff serves as the primary point-of-contact for practice staff questions regarding medication reimbursement for patients.
We accept all major insurance plans including:

• Medicaid
• Medicare (including Part D and Part B)
• Commercial insurance
• Carved-out pharmacy programs administered by PBMs

Our goal is to provide compassionate care to our patients and consistent communication with physicians throughout the course of therapy.   Referrals from leading institutions and providers defines our commitment to excellent care. Our overall approach provides significant benefits to Payors including:

• Enhanced relationships between patients and providers
• coordination of benefits, pharmacy billing and reimbursement counseling
• Improved clinical outcomes through our compliance and education programs
• Adherence to utilization management protocols, and reduction in medication abuse and waste
• Quality improvement programs are in place to deliver a consistent level of care to your members

  We offer a number of benefits to the provider that augments patient care and cost savings:

• Up-to-date source of pharmaceutical information
• Valuable reimbursement support services
• Co-payment vouchers and manufacturer-assistance programs
• Co-pay assistance through foundations and pharmaceutical manufacturers
• Unit-dosed packaging available upon request

For more information please contact us at: HSP@heightsspecialty.com