perkins05
Expert
Help getting denials for j2916 in hemat/onco clinic...
Help getting denials for j2916 in hemat/onco clinic...
Cigna....
reason
it is not covered because they cover specialty and biotech drugs only under their RX benefit. Medications are administered through Caremark Specialty Pharmacy Services. Specialty drug charges not approved by the Caremark are not covered by the plan.
This just started to help and we confused why...patients are upset because they had no knowledge of this either.
Any suggestions would be helpful.