What We Do

Who We Help

News

What We Do

At PRIA Healthcare, 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.

Strategic Reimbursment:
Coding, Coverage and Payment Strategy

Clinical Trial Reimbursement:
Establish Payer Coverage of Clinical Trials

Patient Access Program:
Accelerate Commercial Success

Reimbursement Hotlines:
A Reimbursement Resource for Providers

Patient Access Program:
Accelerate Commercial Success

What We Do

Who We Help

News

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

Payer
Engagement

  • Policy monitoring services
  • Targeted payer outreach to establish coverage
  • KOL – Payer presentations
  • Value briefs and evidence dossier development
  • Medical director services

We’re leading the charge

to accelerate the adoption of innovative healthcare technologies