The Roche Transplant Reimbursement Hotline
The Roche Transplant Reimbursement Hotline
1-800-772-5790 or 1-866-247-5084
Monday-Friday, 9 a.m.-7 p.m. (ET)
As a service to physicians and their patients, Roche Laboratories has established the Roche Transplant Reimbursement Hotline. The toll-free Hotline is an information service staffed by experts with information concerning coverage and reimbursement for:
- CellCept® (mycophenolate mofetil)
- ZENAPAX® (daclizumab) sterile concentrate for injection
- CYTOVENE®-IV (ganciclovir sodium for injection)
- VALCYTE® (valganciclovir)
How the Hotline Can Help
Each payer has its own coverage and reimbursement policies and procedures. Hotline representatives can help you understand individual payer requirements and provide information that may help you obtain appropriate reimbursement for either CellCept®, VALCYTE®, ZENAPAX®, or CYTOVENE®-IV.
The Hotline can provide information about Medicare, Medicaid, most commercial insurers and HMOs for all 50 states.
Service Features
The services of the Roche Transplant Reimbursement Hotline include:
- Providing information about insurers’ coverage policies for CellCept® (mycophenolate mofetil), VALCYTE®, (valganciclovir), ZENAPAX (daclizumab) Sterile Concentrate for Injection, CYTOVENE®-IV (ganciclovir sodium for injection) for use in transplant patients.
- Determining whether patients will have insurance coverage for CellCept, VALCYTE, ZENAPAX or CYTOVENE-IV.
- Identifying sources of help for patients experiencing insurance coverage problems.
- Providing information on billing codes and claims submissions.
- Answering questions about denied claims and appeals processes.
- Qualification and enrollment of eligible patients in the Patient Assistance Program.
Calling the Hotline: 1-800-772-5790 or 1-866-247-5084
When placing a call to the Roche Transplant Reimbursement Hotline, please have the following information available for the reimbursement experts:
- Physician’s name and address
- Physician’s DEA number
- Patient’s name
- Name of insurer
- Name of policyholder
- Group number and policy ID number
- Dosage and regimen
This information will minimize delays and is especially important when requesting assistance with denied claims or prior authorization. In addition to telephone follow-up, all callers will receive written confirmation of the Hotline’s findings.
If you are unable to reach the Hotline during the regular business hours (Monday-Friday, 9 a.m.-7 p.m. ET), leave a message that includes your name and telephone number, and a Hotline representative will return your call, usually the next business day.
Please Note
Third-party reimbursement is affected by many factors; therefore, Roche Laboratories makes no representation or guarantee that you will be successful in obtaining insurance reimbursement or any other payment. Moreover, the Roche Transplant Reimbursement Hotline is provided as an information service, and Roche makes great efforts to provide up-to-date information. However, Roche makes no representation of warranties expressed or implied, as to the accuracy of the information. All users agree that the use of this service is at their own risk.