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1-855-EYLEA4U (1-855-395-3248), Option 4



PRESCRIBING INFORMATION


CONTACT US

Phone Numbers
Voice: 1-855-EYLEA4U, Option 4
  (1-855-395-3248)
Fax: 1-888-335-3264

Monday-Friday
9 AM- 8 PM Eastern Time
Contact Address
EYLEA4U® Reimbursement Support Program
PO Box 220578
Charlotte, NC 28222-0578

FAQs

The FAQs are for healthcare professionals


Portal Benefits

Who can benefit from the Provider Portal?
All healthcare providers with active patients may do the following:
- Access advanced tools designed to streamline process
- Efficiently submit online enrollment forms
- Get instant access to real-time patient case status information
- Receive alerts that highlight important tasks and events to expedite patient treatment

What information is available on the Provider Portal?
The Provider Portal is a secure website accessible only to healthcare providers and reimbursement personnel who participate in the program on behalf of their practice's patients. The website offers access to real-time information about your patients in the program and improved workflow related to reimbursement and patient assistance program information. This includes the ability to submit enrollment applications online, receive alerts and reminders about specific patient cases, and easily access all patient related information regarding patient case history, insurance benefit summaries, patient assistance shipments, and alerts and reminders.

What is the Provider Portal?
The Provider Portal is an online resource for physicians' offices to utilize when requesting benefit verifications, prior authorization assistance, appeals support, claims assistance, patient assistance for the uninsured, and copay assistance. The Provider Portal offers a quick and easy way to enroll patients and maintain status updates from an easy to access website.

Can anyone use the Provider Portal, or just physicians?
Anyone at the physician's office is able to access and utilize the Provider Portal.

Will anyone have access to my patient's records?
Each user will be prompted to register individually and will be provided with a unique log in name and password.

How do I log in to the Provider Portal?
Once the registration process has been completed the user will be provided with a unique log in name and password. On the home page of the designated website the user will be prompted to provide their log in and password; this will grant the user access to their specific patient information.

My password doesn't seem to be working.
Please contact Website Support at 1-855-EYLEA4U (1-855-395-3248), Option 4. The Website Support team is available 9:00 AM to 8:00 PM Eastern Time, Monday-Friday.

Portal Registration

Why do I have to register for the website?
This is a security measure to ensure that only authorized individuals have access to information about your patients. 
The registration process verifies that the requester is authorized to have access to practice location, physician and patient data.

Will an office with multiple providers have to register for separate provider portal accounts? Can one account be used for all providers?
Only one person needs to submit a registration request online or by calling and you only need one account to access all your providers. Over the phone, a member of the Website Support team will verify the appropriate information and access for each user requesting access. To maintain the security of patient data, we ask that all users create and maintain their own user names and passwords. When staffing changes occur within your location, please contact the Website Support team to setup/remove access for your staff as appropriate.

How can I update my office/physician profile information?

You may submit a request for changes by using the My Account feature. Please allow 1 to 3 business days for any changes to be reflected on the portal.

Please contact Website Support at 1-855-EYLEA4U (1-855-395-3248), Option 4. The Website Support team is available 9:00 AM to 8:00 PM Eastern Time, Monday-Friday.


How do I register for the Provider Portal?
Users can access the designated website address and easily register for the Provider Portal by following the step by step instructions located on the site's home page. Additionally, there is a dedicated web support team that will be available for any assistance with the online registering process.

Why are the passwords so complex?
To ensure HIPAA privacy and security rules are met, a user is required to create a complex password.  This ensures that all patient specific information is not easily accessible.

Contacting Support

Who can I contact for Technical Assistance?
Please contact Website Support at 1-855-EYLEA4U (1-855-395-3248), Option 4. The Website Support team is available 9:00 AM to 8:00 PM Eastern Time, Monday-Friday.

Who do I contact with suggestions for enhancements to the website?
Please contact Website Support at 1-855-EYLEA4U (1-855-395-3248), Option 4. The Website Support team is available 9:00 AM to 8:00 PM Eastern Time, Monday-Friday. They will be happy to log your suggestion and communicate it to the portal team. All suggestions are considered as we continue to enhance the website.

Program Questions

How far back does the Provider Portal go for checking status?
In most cases the information will go back to the program's inception.

What attachments are handled in the Provider Portal?
Currently, web enrollments and summary of benefits are accessible via the Provider Portal.

Why do I have to fax the application if I've already submitted one online?
Based on the specific program guidelines the physician will need to fax the application in as well for the signatures to be on file if eSignature capabilities have not been accessed. This is beneficial if the reimbursement program is able to submit any information to the insurance company on the physician's behalf.

I have submitted an application for reimbursement assistance. Why am I not able to view the document on the portal?
The Provider Portal will automatically merge information from the corresponding reimbursement program's database. If the reimbursement request forms are not filed correctly the physician will not have viewing access to that document. The reimbursement case manager will need to manually file the documents.

How do I discontinue the alerts?
At this time there is no way to discontinue the alerts if there is still missing information.  The provider will need to update the reimbursement program by updating the portal directly, calling the reimbursement center or faxing in the requested missing information. If there is no missing information and the provider is still receiving alerts the missing information grid may still be populated. Case Manager can manually update the missing information grid.

I am receiving alerts. Why am I not able to view the missing information?
The Provider Portal will merge information from the corresponding reimbursement program's database. The missing information grid will need to be manually updated by a Reimbursement Specialists.