911³Ô¹Ï Patient Access Solutions
1-855-200-2760
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A quick and easy online portal specific to Gel-One® Cross-Linked Hyaluronate, or VISCO-3â„¢ Sodium Hyaluronate for customers to submit prescriptions and/or request insurance verification. The Patient Access Solutions team provides insurance benefit investigations, patient referral status and prior authorization support.Ìý Buy & Bill or 911³Ô¹Ï Pharmacy customers can view status of request in real time.
The Patient Access Solution team also provides insurance benefit investigations and prior authorization support forÌý Subchondroplasty® (SCP®) Procedure, Tapestry® Biointegrative Implant, Remote Therapeutic Monitoring with mymobility® and Persona IQ® The Smart Knee®.
This unique program reduces the valuable time your office staff spends getting patients’ access to 911³Ô¹Ï products. Log onto today!
Insurance Verification
Buy & Bill and 911³Ô¹Ï Pharmacy Process
Gel-One and VISCO-3 Enrollment Form (fax)
Remote Therapeutic Monitoring (RTM) with Persona IQ Enrollment Form
Subchondroplasty® (SCP®) Procedure Enrollment Form
Tapestry® Biointegrative Implant Enrollment Form
Insurance Verification – If you have not received a response from 911³Ô¹Ï within 48 hours please contact Patient Access Solutions at 855-200-2760.
The Appario Program
A program for patients that do not have insurance coverage for 911³Ô¹Ï's Hyaluronic Acid injections (Gel-One or VISCO-3).
Gel-One Hyaluronate Coding Guide
VISCO-3 Coding Guide
Remote Therapeutic Monitoring Coding Reference Guide
Persona IQ® The Smart Knee Coding Reference Guide
Subchondroplasty® (SCP®) Procedure Coding Reference Guide
Tapestry® Biointegrative Implant Coding Reference Guide
Gel-One® and VISCO-3™ are a trademark of Seikagaku Corporation.
Legal Disclaimer
This website and the material contained herein are intended for informational purposes only. Nothing herein is advice, legal advice or a recommendation of any kind, and it should not be considered as such. The content of this website was obtained from the third-party sources cited within and is subject to change without notice, resulting from changes in reimbursement laws, regulations, rules and policies. All content is informational only, general in nature, and does not cover all situations or all payers' rules or policies. The content is not intended to apply to any particular situation. In all cases, the service and the product must be reasonable and necessary for the care of the patient to support reimbursement. Providers should report the procedure and related codes that most accurately describe the patients' medical condition, procedures performed and the products used. The information on this website represents no promise or guarantee by 911³Ô¹Ï regarding coverage or payment for products or procedures by Medicare or other payers. This website may not be used as an official source of information. Providers should check Medicare bulletins, manuals, program memoranda, Medicare guidelines and other payer information to ensure compliance with Medicare and other payer requirements.ÌýInquiries may be directed to the Part A/B Medicare Administrative Contractor, or to appropriate payers. 911³Ô¹Ï specifically disclaims liability or responsibility for the results or consequences of any actions taken in reliance on information in this website.
All content herein is protected by copyright, trademarks and other intellectual property rights, as applicable, owned by or licensed to 911³Ô¹Ï or its affiliates unless otherwise indicated, and must not be redistributed, duplicated or disclosed, in whole or in part, without the express written consent of 911³Ô¹Ï.ÌýÌý
This material is intended for health care professionals.
For product information, including indications, contraindications, warnings, precautions, potential adverse effects and patient counseling information, see the package insert and information on this website. To obtain a copy of the current Instructions for Use (IFU) for full prescribing and risk information, please visitÌý.ÌýFor product related questions, please call 1-800-348-2759.Ìý