FAQs for Providers

Who can apply on behalf of a patient, and what type of information is necessary to do so?
Providers, case managers, caregivers, patients, and patient advocates can apply on behalf of a patient. Applications can be received online, by telephone, facsimile or mail. In doing so, it is necessary to obtain patient contact information (name, address, phone number, date of birth), patient insurance and prescription information, and patient income information (household size and household income). Go to AssistFund eEnroll to apply on behalf of a patient.

How do I bill The Assistance Fund?
If you are a pharmacy, The Assistance Fund’s preferred method of billing is with electronic billing information. PDMI will issue appropriate claims processing information to support the cost of the patient’s claim. This information is as follows:

Customer ID: Provided by The Assistance Fund
BIN:
610020
PCN: MEDDPDM
Group #:99990607

In order to determine a patient’s remaining copay responsibility as well as obtain patient’s member benefits with our program, please contact a Patient Advocate at (855) 845-3663. Patient Advocates are available Monday through Friday from 9:00am – 6:00pm, excluding holidays.

For pharmacies that are unable to support electronic billing information or a claims adjudication system, payments can also be facilitated through a Visa E-Card. To establish an E-Card or set up a payment for your patient, please contact a Patient Advocate at (855) 845-3663. Patient Advocates are available Monday through Friday from 9:00am – 6:00pm, excluding holidays.

If you are a Healthcare Provider or a Site of Care, The Assistance Fund accepts Explanation of Benefits. For healthcare providers who are administering a prescription medication at their site, payments are facilitated through a Visa E-Card. To establish an E-Card or set up a payment for your patient, please contact a Patient Advocate at (855) 845-3663. Patient Advocates are available Monday through Friday from 9:00am – 6:00pm, excluding holidays.