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For Expedited Service |
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| For expedited service, please have
the following information available when contacting the ConneticsCare
Insurance Reimbursement Support Program regarding specific claims
and/or payer coverage and payment information: |
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- Patient's
name
- Patient's
date of birth
- Patient's
address
- Patient's
diagnosis
- Physician's
name
- Physician's
address
- Physician's
provider number
- Name
of insurer
- Name
of policy holder
- Social
Security number of policy holder
- Insurance
policy information (policy ID number, plan name, group number)
- Product
prescribed
- Dosage
prescribed
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| If you require assistance with obtaining
insurance coverage for Luxíq, then please contact the ConneticsCare
Insurance Reimbursement Support Program at 1-800-572-3225 Monday through
Friday 8:00 am—8:00 pm EST and our insurance specialists may
be able to provide assistance in working with your insurer. |
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