What We Do

PRIA Healthcare provides patient solutions for medical device reimbursement. We believe patients deserve to have access to—and insurance coverage for—the most innovative and scientifically proven medical devices, treatments, and procedures so they can receive the care their health and well-being depend on.

PRIA’s robust service offerings support a patient’s access to innovative medical devices from concept through commercialization, ensuring a stable pathway that enhances utilization, demonstrates market demand, and drives payer adoption.

Strategic Reimbursment Services

Reimbursement landscape assessment
Coding strategy and support
Coverage strategy and support
Payment strategy and support

Clinical Trial Reimbursement Services

Protocol review to ensure economic endpoints
Submission of Medicare clinical trial coverage request
Clinical trial coverage and payment support for
Medicare and Commercial payers
Collection of economic and utilization data to support duture coding and payment strategies

Patient Access
Services

Electronic and manual benefits verification
Prior authorizations
Pre-service appeals
Procedural and payer data collection
Centralized platform and service to support patient access

Reimbursement Hotline Services

Dedicated reimbursement resource to internal and external stakeholders
Provide consistent and compliant reimbursement support to incoming customer inquiries
Distribute reimbursement guidance relative to current coding, coverage and payment for device