Form and agreement signed by the pharmacy to link and forward drug applications in time of insemination to ClaimSecure. Maintaining strong relationships with suppliers is simply a smart business. That`s why we meet regularly with the head offices of the pharmacy chain. In the interest of plan sponsors, we have a country-specific supplier agreement, which all pharmacy suppliers must sign before ClaimSecure`s claims are accepted. This agreement contains a “beneficiary” clause that prevents pharmacies from charging us more than they charge to other private payers or customers in cash. To ensure you get the most out of our suppliers, we make regular market assessments and enter into firm agreements to ensure a level playing field for all ClaimSecure customers. At ClaimSecure, we are committed to ensuring cost control for plan sponsors while minimizing out-of-pocket costs for plan members. In this context, we actively participate in meetings with dental and pharmaceutical associations. These meetings, combined with constant monitoring and analysis, allow us to detect new trends at an early stage, so that we can keep our customers informed – as soon as knowledge is available! . . . .

. This questionnaire must be completed when submitting a personalized knee estimate. Be sure to fill in all the necessary information and provide an estimate before authorization. . You can quickly and easily find all the forms you are looking for on this page. Browse the list of forms below or use the “Search Forms” field to search for keywords in all forms. Once you`ve found your form, you can download it in PDF format via the Download link. .

List of all drugs that can be classified by the plan sponsor as part of our government plans as “Requires special authorization,” including specialty drugs. . This form must be completed when a right to reimbursement is filed. Be sure to attach the original document with the completed application form.