accolade logo
Careers

Helping a member resolve a denied treatment claim

October 12, 2023 | 1 min read

Nearly 25% of people taking prescription drugs have difficulty with the cost of their medication. [1] Being unable to afford prescriptions can affect adherence and overall health. So, when a 49-year-old member who’d been diagnosed with Multiple sclerosis (MS) had her treatment claims denied, the Accolade team went to work for her.

Ten months into treatment, despite prior approval, the member couldn’t get her long-term medication authorized. Our specialized claims and benefit team contacted the health plan to find the problem. This led to an appeal, which helped the member get the care she needed and saved her tens of thousands of dollars.

“By simply making that first phone call, this member was able to impact all of her future healthcare needs,” said Cathy Shorn, Accolade steward.

Watch the video to hear the full story.

Read the latest

09 /03

Unlock employee health insights and cost-effective strategies

Do you have the right data to make informed employee benefits decisions? Discover on-demand, actionable insights with Accolade’s True Health Dashboard...

Read now

08 /08

How employers can lower costs with equitable healthcare

Complex systems deter many people from using employer-provided benefits. Navigation can simplify care, increase access, reduce costs, and improve outcomes...

Read now

07 /11

Open Enrollment: Your employees' first step to a better healthcare journey

Learn from our benefits experts how to simplify open enrollment and improve employee health with Accolade.

Read now

Ready for Personalized Healthcare?

CTA image