PATHWAY Reimbursement Support Patient Resources

CONTACT PATHWAY PLUS
FOR SPECIFIC RESOURCES
AND SERVICES
855-217-0698

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	PATIENT RESOURCES


	CONTACT PATHWAY PLUS FOR SPECIFIC RESOURCES AND SERVICES

	855-217-0698 Monday through Friday, 8:30 AM to 5 PM, EST

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	HOW DO I GET STARTED WITH PATHWAY PLUS SUPPORT?

	To verify your healthcare coverage for Abbott Nutrition products, ask your healthcare provider to complete the Request Form found on this page and fax to 855-752-9885 or follow these instructions:

	Download and print the Request Form		Complete the Patient Information and Insurance Information sections of the form and sign and date the Patient Certification Statement		Have your healthcare provider complete the remaining sections and fax the completed form to 855-752-9885

SIMILAC® ALIMENTUM

PEDIASURE® PEPTIDE

PEDIASURE HARVEST™

SIMILAC® NEOSURE


	HOW PATHWAY PLUS GUIDES PATIENTS THROUGH THE INSURANCE BENEFIT VERIFICATION AND CLAIM SUBMISSION PROCESS:

		You or your child visits your healthcare provider. The healthcare provider examines and recommends a treatment plan.

		You or your healthcare provider contacts PATHWAY PLUS to help confirm your healthcare coverage for the recommended product. PATHWAY PLUS will need certain information from you and your healthcare provider in order to complete this service. (See above for the request forms you may need)

		PATHWAY PLUS relays coverage results and any out-of-pockets costs you may have.

		If you have coverage, the healthcare provider writes an order or prescription allowing you to take it to a supplier (pharmacy or DME) who submits a claim to your insurance plan on your behalf for payment.

		The claim is then processed by the insurance plan.

		You receive the product and the pharmacy or DME receives payment.

	If your insurance plan does not cover the Abbott Nutrition product, you may want to discuss with your healthcare provider if there are other options. INFORMATION NEEDED FOR PATHWAY PLUS TO COMPLETE A BENEFIT VERIFICATION: Patient’s Name, Date of Birth and Diagnosis Patient’s Phone and Address Patient’s Insurance information including subscriber’s name and relationship to patient Insurance Carrier’s name, phone, Plan ID, group number or copy of the insurance card Product Name Dosage Information Healthcare Provider’s Name, Phone and Address Healthcare Provider’s NPI and Tax ID Name of Contact (at provider’s office)

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Disclaimer:
Each healthcare provider is ultimately responsible for verifying codes, coverage, and payment policies used to ensure that they are accurate for the services and items provided. Providers should consult with the insurance plan for complete and accurate details concerning documentation for claims. Abbott Nutrition does not guarantee reimbursement by any third-party insurance plan and will not reimburse physicians or providers for claims denied by third-party insurance plans.

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