PainTEQ Provides Support
The Patient Access Program is designed to increase patient access to the LinQ procedure. The program is offered to PainTEQ customers at no cost.
Patient FAQ
What is a pre-authorization, why do I need one? How long is the pre-authorization process?… Can I work with my physician to submit…
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If you have any questions about insurance coverage or if you insurance has denied your claim,
please fill out the form below and we will be in contact with you.
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Reimbursement FAQ
We are here to help you feel comfortable with the minimally-invasive LinQ SI Joint Stabilization Procedure.
What is a pre-authorization and why do I need one?
A pre-authorization, sometimes called a pre-approval, prior-authorization, pre-certification, or pre-determination, is an authorization that insurance plans frequently require members to obtain before receiving certain types of care, such as surgeries to determine whether the procedure is medically necessary.
How long is the pre-authorization process?
A pre-authorization can take 3-15 days for your insurance company to make an initial determination on your procedure. If your procedure is denied, you have the right to ask for a reconsideration of the decision (i.e. appeal). The appeal process can take an additional 30-60 days for a determination and multiple appeals might be necessary.
Can I work with my physician to submit appeals to my insurance company?
Yes. Your case will be stronger if you and your surgeon are able to work together as a team to present your case
The PainTEQ patient assistance program can assist
What if I don’t agree with the determination made by my insurance company?
If the procedure is denied, you have the right to ask for a reconsideration(i.e.) appeal of the decision.
There are typically multiple levels of appeals that can be pursued with your insurance, with the option to pursue external appeal only after you have exhausted your insurance plan internal appeals process.
PainTEQ patient assistance program can assist
Why was my case denied?
There are several reasons an insurance company may deny your procedure. Examples include but are not limited to. Benefits and coverage limitations, assessment that the procedure is not medically necessary, and/or missing clinical documentation/information.
An insurance denial is at the discretion of the insurer but can be challenged by you and your physician.
Is pre-authorization a guarantee that my procedure will be covered?
There are several reasons an insurance company may deny your procedure. Examples include, but are not limited to, benefits and coverage limitations, assessment that the procedure is not medically necessary, and/or missing clinical documentation/information.
The PainTEQ patient assistance program can assist you with this
At what point in the process can the case assistance program help me?
The PainTEQ patient assistance program can assist at any time in the pre- or post-procedure processes, but after you and your physician have independently chosen to pursue treatment.
Once contacted by you or your physician, the case assistance program will work with both of you towards achieving coverage.
