accolade logo

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

Kelli Burns AI

02 /28

Embracing AI in healthcare: A balance of innovation and compliance

Discover Accolade's methodical and transformative use of AI, prioritizing innovation, productivity, quality, and data safety...

Read now

02 /27

Virtual therapy for eating disorders offers new hope

As the prevalence of eating disorders continues to rise, virtual therapy is transforming care. Learn how it's increasing accessibility and inclusivity...

Read now

02 /14

SAIC uses digital MSK solution to boost physical therapy use and reduce surgeries

Discover how I.T. and engineering company SAIC uses Accolade and an intelligent Sword Health solution to give its employees life-changing MSK care...

Read now

Ready for Personalized Healthcare?

CTA image