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CONTACT PATHWAY
FOR SPECIFIC RESOURCES
AND SERVICES

1-800-558-7677
patient_resources_header




PATIENT RESOURCES






CONTACT PATHWAY FOR SPECIFIC RESOURCES AND SERVICES




1-800-558-7677

Monday through Friday,

8:30 AM to 5 PM, EST





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patients


HOW PATHWAY GUIDES PATIENTS THROUGH THE INSURANCE BENEFIT VERIFICATION AND CLAIM SUBMISSION PROCESS:





1-process
You or your child visits your healthcare provider. The healthcare provider examines and recommends a treatment plan.



2-process
You or your healthcare provider contacts PATHWAY to help confirm your healthcare coverage for the recommended product. PATHWAY will need certain information from you and your healthcare provider in order to complete this service. (See above for the request forms you may need)




3-process
PATHWAY relays coverage results and any out-of-pockets costs you may have.




4-process
If you have coverage, the healthcare provider writes an order or prescription allowing you to take it to a supplier (pharmacy or DME) who submits a claim to your insurance plan on your behalf for payment.




5-process
The claim is then processed by the insurance plan.




6-process
You receive the product and the pharmacy or DME receives payment.




If your insurance plan does not cover the Abbott Nutrition product, you may want to discuss with your healthcare provider if there are other options.

INFORMATION NEEDED FOR PATHWAY TO COMPLETE A BENEFIT VERIFICATION:

  • Patient’s Name, Date of Birth and Diagnosis
  • Patient’s Phone and Address
  • Patient’s Insurance information including subscriber’s name and relationship to patient
  • Insurance Carrier’s name, phone, Plan ID, group number or copy of the insurance card
  • Product Name
  • Dosage Information
    • Healthcare Provider’s Name, Phone and Address
    • Healthcare Provider’s NPI and Tax ID
    • Name of Contact (at provider’s office)