Too many therapy starts stall before a prior authorization decision is made. Fragmented data across providers, pharmacies, hubs and payers limits early visibility—leading to late awareness and delayed intervention. Without a clear view of the patient journey, access issues can go unnoticed until prescriptions are already at risk, resulting in slower time to therapy and avoidable abandonment.
CoverMyMeds Field Reimbursement Managers (FRM) collaborate with providers, hubs and your brand team to prevent access breakdowns, help resolve barriers and build lasting improvements in how reimbursement is navigated. Our FRMs bring payer experience, therapeutic area knowledge and access and reimbursement visibility into the real-time patient journey – so intervention can happen at the first sign of delay.
CoverMyMeds Field Reimbursement Services provide access to a network of integrated technologies, equipping our FRMs with visibility into the patient journey. This insight — combined with regional payer experience — enables FRMs to deliver meaningful education to provider offices. The results speak for themselves.
average increase observed in PA submissions after FRMs deliver meaningful education to provider offices[0]
stand up a Field Reimbursement Services program in as few as 2 months[0]
increase in hub enrollment witnessed on average after FRMs are deployed[0]
Our Field Reimbursement Managers do more than provide in-office support. They operate as a strategic extension of your access ecosystem — pairing field education with real‑time visibility to help identify, address, and prevent access barriers. Combined with CoverMyMeds access solutions, FRMs drive timely therapy starts and sustained access over time.
On average, provider offices engaged by CoverMyMeds Field Reimbursement Managers have shown a 5.1% increase in prior authorization submissions.[0]
FRMs bring therapeutic‑area knowledge and regional payer experience to help provider offices navigate complex reimbursement requirements and prevent access hurdles before they disrupt patient care.
Pairing field experience with integrated technology, FRMs help improve how provider offices navigate reimbursement over time — supporting sustained access performance, not just one‑off issue resolution.
With years of clinical healthcare experience and a variety of specialty areas, our team is dedicated to helping your brand succeed.
Angela brings 25 years of healthcare industry experience, primarily in the post-acute space, with both clinical and nonclinical expertise. Her reimbursement focus spans buy-and-bill, commercial payer policy, Medicare LCD interpretation, prior authorizations, appeals, billing and coding, and patient out-of-pocket assistance.
I love diving deep into a practice's prior authorization process to make sure they understand how to properly submit prior authorizations through CoverMyMeds' portal.
Oscar brings over 25 years of healthcare and pharmaceutical experience, with a background spanning inside and field sales, field reimbursement, program management and team leadership. He has more than 20 years of management experience and is known for his strong communication, organizational skills and ability to lead diverse teams to successful outcomes.
When you put the patient first, success will follow. The patient is what sets our compass to true North.
Cindy brings 30 years of healthcare experience with strong leadership across operations, pharmacy benefit management and field reimbursement. She has supported reimbursement, prior authorizations, appeals and patient support services across multiple therapeutic areas, with deep expertise in specialty injectables, buy-and-bill therapies and epinephrine auto-injectors.
I enjoy this position because we share the same cultural values, and my commitment to assisting patients is what drives me to keep going.
CoverMyMeds Field Reimbursement Services are data-informed and built to work as an extension of your existing access infrastructure — connecting your brand team, clinical sales, hubs, and provider offices.
We stand up your team of FRMs in as few as two months — trained on your therapy area and payer landscape.
FRMs are deployed strategically to key provider offices, building relationships and educating on access resources and billing processes.
When integrated with other CoverMyMeds technology, our FRMs gain critical visibility into patient-level PA status, denials and outcomes.
FRMs intervene at the first sign of delay — escalating cases, appeals, coordinating with hubs — to keep patients moving toward therapy.
Reporting and insights flow back to your brand and market access teams enabling you to optimize market access strategy and resource allocation in real-time based on actual field barriers throughout the program lifecycle.
We stand up your team of FRMs in as few as two months — trained on your therapy area and payer landscape.
FRMs are deployed strategically to key provider offices, building relationships and educating on access resources and billing processes.
When integrated with other CoverMyMeds technology, our FRMs gain critical visibility into patient-level PA status, denials and outcomes.
FRMs intervene at the first sign of delay — escalating cases, appeals, coordinating with hubs — to keep patients moving toward therapy.
Reporting and insights flow back to your brand and market access teams enabling you to optimize market access strategy and resource allocation in real-time based on actual field barriers throughout the program lifecycle.
Explore seven real-world examples of how FRMs help practices streamline workflows, improve efficiency, and support better patient access.
Prior Auth Overload: A medical office was struggling to navigate the prior auth process. With 11 open prior auths pending, the office staff were overwhelmed, hindering their ability to provide quality patient care.
Educational Support: A Field Reimbursement Manager (FRM) scheduled an educational lunch and learn with the office staff to provide guidance on how to streamline the process.
Streamlined Success: With the FRM’s educational support, the care team saw 6 of their 11 prior auths receive a positive determination.
Prior Auth Denial Crisis: A medical office was facing a challenging prior auth denial, causing delays and affecting patient care. The prior auth coordinator was struggling to navigate complex requirements, leading to frustration and wasted time.
Educational Intervention: A Field Reimbursement Manager (FRM) from CoverMyMeds provided educational support to help streamline the process.
Rapid Resolution: With the FRM’s educational support, the coordinator submitted a new prior auth, which was approved the same day.
Medication Crisis: A specialty pharmacy incorrectly told a provider they weren’t REMS certified and couldn’t fill an e-script, putting a patient at risk of running out of medication. The patient had only a few days’ worth of medication left.
Clearing a Path Forward: A Field Reimbursement Manager (FRM) verified the provider’s REMS certification and discovered the issue was due to an incorrect NPI on the e-script. The FRM advised the coordinator to update the NPI and resubmit the claim.
Timely Delivery: The pharmacy updated the NPI, filled the prescription and arranged for delivery to the patient, ensuring they didn’t miss a dose. The FRM also educated staff on using the correct NPI to avoid future REMS issues.
Making an Introduction: A Field Reimbursement Manager (FRM) faced difficulties reaching a key point of contact at a health system, hindering the introduction of a new dashboard to bring value to the team.
Collaborative Approach: After making contact, the FRM scheduled a visit to educate the care team on the dashboard and discuss relevant use cases, ultimately building trust and strengthening their relationship.
Stronger Connections: The FRM established a strong working relationship with the health system, clarified preferred contact methods and proved their value, paving the way for continued communication and support.
Denied and Uncertain: A prior auth denial left office staff unsure how to proceed, putting patient care at risk.
Personalized Guidance: A Field Reimbursement Manager (FRM) investigated the denial, educated the office contact on the correct form and supporting documentation needed.
Approved and Delivered: The prior auth was approved one week later, ensuring the patient received the necessary medication. The FRM’s educational support helped to streamline the process.
Double Denial Dilemma: An office contact received prior auth denials from two different payers, both citing a lack of records showing patients had been on an ACE or ARB, a crucial requirement for a specific medication.
A Helping Hand: A Field Reimbursement Manager (FRM) educated the office contact on the drug's indication and the importance of ACE/ARB history and provided guidance on resubmitting the prior auths.
Double Approval Success: With the FRM’s educational support, the office contact was able to resubmit the prior auths with the necessary information, resulting in approvals from both payers and helping ensure patients receive their medications.
