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Surgeon Resources

Support for Insurance Denials PRIA Provider Overview

Even though a device is approved by the FDA, its use may be limited as health insurers decline to pay for breakthrough technology. Orthopediatrics is committed to increasing patient access and commercialization for the ApiFix procedure through our partnership with PRIA Healthcare and the Apifix Patient Access Program. The program is designed to accelerate a patient’s access to the ApiFix procedure. Prior authorization and appeals submissions are consistent to each payer with a focus on medical necessity, the patient’s clinical evidence and supporting documentation for ApiFix. If you are a healthcare provider seeking support with prior authorizations, or preservice appeals, please complete the ApiFix Patient Access Program enrollment form found here.

Please contact PRIA for more information on this no cost service offered to you

PHONE: (860) 724-2863 FAX: (860) 782-2092