Insurance Coverage in the USA

Resonance Health will continue to update this website as additional information is made available to support FerriScan insurance coverage. So please continue to review this website for updates.

FerriScan has been used in the United States since 2005, when FDA clearance for FerriScan was obtained. Since that time, over a thousand FerriScans have been performed for US patients at a number of US hospitals and radiology facilities.

The FerriScan test involves an MRI scan followed by an analysis of the images to quantify the liver iron concentration. The image analysis is performed by Resonance Health at a central image analysis laboratory using a patented technology which enables a high level of accuracy to be achieved.

The cost of the MRI scan (or part of the cost) is usually covered by insurance companies (payers). Pre-authorisation is recommended, as is common for MRI testing. However, the cost associated with the FerriScan image analysis may not be covered, resulting in the patient having to cover this cost, together with any co-pay associated with the imaging.

Resonance Health is committed to provided comprehensive customer support to the billing and reimbursement process with the aim of gaining broad payer coverage for the FerriScan test.

1) Resonance Health has developed a comprehensive Billing Guide to assist health providers with the correct coding for FerriScan and supporting documents to assist with submitting claims and pre-authorisation including templates to streamline the process.

2) Should you encounter any special problems or have questions or concerns not addressed in this guide, we encourage you to contact our Reimbursement Hotline, located in the US in any of the following ways:

Phone: 1-888-307-6539 (Toll free)

 303-524-3852 (Direct)

Email: FerriScanhelp@reimbursementprinciples.com

Fax:     303-703-1572

3) Resonance Health is also working towards an application for a CPT code unique to FerriScan. As this can be a lengthy process, payer coverage can be obtained by working directly with both public and private payers using the process covered in the Billing Guide.

4) While initial claims may be denied and an appeal must be initiated, this claim process is a very important part of establishing a "claims history" with each payer. Once a history of claims and a clear patient need can be demonstrated, a more formal review will eventually be undertaken by the payer. Resonance Health is happy to assist with providing supporting material required by the Medical Director of the payers or to make a presentation to the payer if required.