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CONTACT PATHWAY
FOR SPECIFIC RESOURCES
AND SERVICES

1-800-558-7677
provider_resources_header




PROVIDER 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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DOWNLOAD THE REQUEST FORM BELOW TO INITIATE A PATHWAY SERVICE OR VISIT THE WEBSITE FOR MORE INFORMATION ABOUT THE PRODUCT.




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DOWNLOAD THE REQUEST FORM BELOW TO INITIATE A PATHWAY SERVICE OR VISIT THE WEBSITE FOR MORE INFORMATION ABOUT THE PRODUCT.




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DOWNLOADS AND RESOURCES

How PATHWAY guides patients and providers through the reimbursement process:


1-process
The doctor examines and recommends a treatment plan to the patient(s).



2-process
The doctor contacts PATHWAY to help confirm the patient’s healthcare coverage for the recommended Abbott Nutrition product. PATHWAY will need certain information in order to complete this service. (See below for the request forms you may need).




3-process
PATHWAY provides a written summary of benefits to the doctor and verbally relays coverage results and any out-of-pockets costs to the patient.


What information you will need to use PATHWAY:

  • 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
  • Provider’s Name, Phone and Address
  • Provider’s NPI and Tax ID
  • Name of Contact (at provider’s office)

Prior Authorization Tips

Prior authorization requirements vary among health care plans. We have listed below some of the forms and documents you might need for a health plan to obtain prior authorization. This list does not guarantee prior authorization approval.

  • A Statement of Medical Necessity
  • The patient’s health plan information or copy of their insurance card (front and back)
  • Any supporting documentation including:
    • The health plan’s prior authorization form
    • Relevant patient history and physical findings
    • Chart notes from the healthcare provider
    • Test and lab results
    • Hospital admission/emergency department notes (if applicable)

Sample Documentation Resources for Billers