Access Program at 866-847-3539
Mon-Fri 8 AM to 8 PM ET
RESOURCES FOR RENFLEXIS
The Organon Access Program 2023 Electronic Enrollment Form
This form can be signed and submitted electronically. Use this form only if the patient is in the office and you are able to complete this form together. Use this form if you would like to re-enroll your patients for 2023.
The Organon Access Program 2023 Electronic Health Care Provider Enrollment Form
This Health Care Provider form can be signed and submitted electronically. Please note that the patient must also submit the Electronic Patient Enrollment Form, which can be found at www.organonaccessprogram-renflexis.com/hcc. Use this form if you would like to re-enroll your patients for 2023.
The Organon Access Portal provides real-time management and tracking of case status for enrolled patients.
The Organon Access Program 2023 Enrollment Form
Use this form if you would like to re-enroll your patients for 2023.
Co-pay Claims Portal
Medical co-pay claims can be submitted electronically using the Co-pay Claims portal.
The information available here is compiled from sources believed to be accurate, but Organon makes no representation that it is accurate. This information is subject to change. Payer coding requirements may vary or change over time, so it is important to regularly check with each payer as to payer-specific requirements.
The information available here is not intended to be definitive or exhaustive, and is not intended to replace the guidance of a qualified professional advisor. Organon and its agents make no warranties or guarantees, express or implied, concerning the accuracy or appropriateness of this information for your particular use given the frequent changes in public and private payer billing. The use of this information does not guarantee payment or that any payment received will cover your costs.
You are solely responsible for determining the appropriate codes and for any action you take in billing. Information about HCPCS codes is based on guidance issued by the Centers for Medicare & Medicaid Services applicable to Medicare Part B and may not apply to other public or private payers. Consult the relevant manual and/or other guidelines for a description of each code to determine the appropriateness of a particular code and for information on additional codes. Diagnosis codes should be selected only by a health care professional.
HCPCS, Healthcare Common Procedure Coding Systems.