Claims appeal process
Your doctor has prescribed a Teva product, but your insurance plan has denied coverage. Here’s an example of how your physician would appeal a denial of coverage:
Reimbursement Process
Available to help patients with the reimbursement process
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An example of how it works
- Your physician has prescribed a Teva product for your treatment
- You have received your treatment
- Your healthcare provider will submit a claim for reimbursement to your insurance plan on your behalf
- Your healthcare provider receives reimbursement for your treatment if the claim is approved. If your claim is denied, please refer to the claims appeal process below.
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Considerations for filling out the enrollment form
- Please review the enrollment form and have the information requested on the form available for your physician
- Provide copies of insurance cards (front and back). Please make copies of your insurance cards and enlarge if possible
- Patient Assistance
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Your healthcare provider determines why your insurance plan has denied coverage of your Teva treatment. The CORE team can help your physician’s office evaluate your plan’s requirements
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Your physician’s office gathers the information and fills out the paperwork that is necessary to submit an appeal to your insurance plan
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Your physician’s office submits the appeal to your insurance plan
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If your appeal is successful, your physician obtains reimbursement for your Teva treatment. If your appeal is denied, the CORE team can assist your healthcare provider with questions
