Solutions

Field reimbursement services

Streamlining the path to access and reimbursement with a team of dedicated managers and a comprehensive approach.

Field reimbursement manager educating a provider with information on a tablet.

The challenge

There are too many hurdles to starting therapy. 65% of patients have experienced medication delays.[0]CoverMyMeds Patient Survey, 2022 Between administrative challenges and unclear prior authorization processes, pharma brands struggle to get their therapies to the patients who need them. Without proper visibility and an effective reimbursement strategy, there’s a risk of increased time to therapy or medication abandonment.

Field reimbursement services benefits

CoverMyMeds Field Reimbursement Managers (FRMs) educate provider teams to help reduce time to therapy and decrease reimbursement barriers.

  • Extend your brand

    Build a stronger connection between your brand, clinical sales and market access teams, hubs and providers with the support of our skilled FRMs.

  • Gain visibility into the patient journey

    Our FRMs have critical visibility into the patient journey, allowing claim denials or prior auth rejections to kick off a quicker resubmission or appeal process.

  • Leverage payer expertise

    With years of experience in navigating payer and provider processes, our FRMs quickly and seamlessly resolve issues as they arise and can educate provider offices to understand differences in common reimbursement processes.

  • Provide actionable reports

    FRMs document activities, track patient and territory progress, and identify trends to provide valuable feedback about market dynamics and access challenges.

  • One partner, multiple benefits

    Our dedicated Field Reimbursement Managers are highly trained and specialize in solving access and reimbursement challenges to help get patients on therapy faster. When paired with other CoverMyMeds solutions, our FRMs have a distinguished line of sight into the patient journey.

  • High level of visibility

    We have line of sight into the patient journey, including prior auth status, BI/BV information, denial reason and appeals and prior auth outcomes. 

    Fast implementation

    Launch your program in the U.S. and Puerto Rico in as little as two months. Our FTE training model allows us to scale accordingly throughout the life of your program.

    Therapy and payer experience

    Our FRMs have local payer expertise to educate offices on how to overcome access and reimbursement hurdles. By leveraging the experience and resources of CoverMyMeds, they are resourced to support any therapy area.

Meet our field reimbursement specialists

With years of clinical healthcare experience and a variety of specialty areas, our team is dedicated to helping your brand succeed.

Meet Angela Herd

Angela brings with her 25 years of healthcare industry experience working primarily in the post-acute area. Her background includes both clinical and nonclinical experience. She is highly proficient in all payer landscapes. Angela’s reimbursement areas of focus include buy-and-bill, commercial payer medical policy, Medicare LCD interpretation, patient prior authorization, letter of medical necessity, procedural documentation, billing and coding, commercial payer contracting, appeals process and patient out-of-pocket assistance.

25

Years of Experience

Focus

Buy-and-bill, Medicare and commercial plans, and medical and pharmacy benefit
Headshot of Angela Heard
Field Reimbursement Manager

I love diving deep into a practice's prior authorization process to make sure they understand how to properly submit prior authorizations through CoverMyMeds' portal.

Meet Oscar McCoy

Oscar has over 25 years of healthcare and pharmaceutical experience; 14 years with McKesson. His experience includes both inside and field sales, field reimbursement, program management and team management. He also has over 20 years of management and leadership experience. Oscar’s strengths are his diverse background, communication skills, organization skills, time management and ability to lead a variety of teams. He is results-driven and focused on the success of his teams and programs.

25

Years of experience

Focus

Leadership, reimbursement, access
Headshot of Oscar McCoy
Field Reimbursement Manager

When you put the patient first, success will follow. The patient is what sets our compass to true North.

Meet Cindy Long

Cindy has 30 years of healthcare experience with a record of exceptional leadership in operations, pharmacy benefit management and field reimbursement. Cindy has experience supporting numerous products with reimbursement, prior authorizations, appeals and patient support services. Cindy’s product experience includes but is not limited to oncology, rheumatology, dermatology, gastroenterology, behavioral health and immunology. She has exceptional experience supporting injectable biologic specialty medications, buy-and-bill medications and epinephrine auto-injector medications. ​She is also a nationally-certified pharmacy technician with experience in retail, mail-order, long-term care and home infusion.​

30

Years of experience

Focus

Medicare, Medicaid and commercial plans
Headshot of Cindy Long
Field Reimbursement Manager

I enjoy this position because we share the same cultural values, and my commitment to assisting patients is what drives me to keep going.

Join CoverMyMeds’
ever-growing network.

  • 950,000+ providers, with 350+ EHRs integrated
  • 50,000+ pharmacies, inclusive of top 10 chains
  • 650+ brands across 95% of therapeutic areas Connect with our team to see how CoverMyMeds can help deliver comprehensive solutions to improve patient access, affordability and adherence.
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