Blank CMS-1500 Form

Standard claim form for physician office.

Blank UB-04/CMS-1450 Form

Standard claim form for hospital outpatient.

Patient Benefits Information Form

Benefits and coverage summary form for patients.

Medically Unlikely Edit (MUE) Appeal Template Letter*

This template is offered as a resource to use when writing to appeal the Medically Unlikely Edit (MUE) that is in place for a certain drug and to provide documentation of the medical necessity of that drug.

Medical Necessity Template Letter*

Template letter to document the medical necessity of a drug.

Prior Authorization Denial/Redetermination Appeal Template Letter*

Template letter to request a First-Level/Second-Level Appeal by a Medical Advisor for the prior authorization denial of a drug.

Commercial Claim Denial Appeal/Redetermination Template Letter*

Template letter to request a First-Level/Second-Level Appeal by a Medical Advisor of the denial of a drug.

Open Access Template Letter*

Template letter to appeal for coverage if payer’s policy has denied access to a product.

Peer-to-Peer Medical Checklist

If a patient has been denied coverage for a medication by a payer, a peer-to-peer review may be warranted for approval. Review this checklist to support the patient’s treatment rationale.

My BMS Cases User’s Guide

A user guide for our online provider portal designed to help you assist patients with enrolling in BMS Access Support^® programs.

A Guide to Electronic Benefits Reverification (eBRV)

A guide to reverifying benefits for your patients currently enrolled in BMS Access Support and receiving BMS medications.

Getting Started with BMS Access Support: An HCP Guide

An introduction to BMS Access Support for healthcare professionals.

HCP Reimbursement Process Map

A step-by-step process map of the healthcare professional reimbursement journey.

Understanding Your Healthcare Benefits

Information about how health insurance may help patients pay for treatment.

A Guide to Medicare Part D

A guide to the four phases of Medicare Part D.

Low-Income Subsidy Brochure

A guide to Medicare low-income subsidy for patients with limited income or resources.

Patient Brochure

An overview of services BMS Access Support provides to patients.

Patient Reimbursement Process Map

A step-by-step process map of the patient reimbursement journey.