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One-to-One Support: What a Nurse Case Manager Can Do for You

Alexion Nurse Case Managers provide support by:

Education

• Collaborating with you and your healthcare providers, answering questions, and providing educational resources related to PNH and Soliris^®
• Providing information before your first infusion so you know exactly what to expect

Access

• Helping you navigate insurance issues and coordinating other needs that are important to your treatment plan
  • For example: providing information on insurance verifications, coverage determinations, and, if necessary, assistance in securing alternative funding
• Alexion Case Managers can assist with coding information and claims submission requirements
  • The Soliris coding and billing information guide supplies the relevant reimbursement information and coding guidance for Soliris therapy such as:
    • Coverage
    • Claims Coding for Diagnosis
    • Claims Coding for Physicians’ Offices
    • Claims Coding for Hospitals
    • Reimbursement
    • Establishing Medical Necessity
    • Appealing Denied Claims
    • Billing for Flow Cytometry
• As always, check all reimbursement information and requirements with your local Medicare carrier, Medicaid administrator, or insurance carrier for specific guidance related to authorization for care and claims submission