Submitting claims and reimbursements

Understand the claims process, how to submit claims, and how to submit patient reimbursements

Need to ask PAN for a reimbursement or submit a claim? Learn the steps for sending a bill to PAN.

Review your specific claims and billing information, including detailed instructions on how to file claims, checking the status of claims, payment info, and what to do if a claim is denied:

Check your grant balance

You can check the balance of a grant anytime by logging in to your PAN portal online. You can also use our 24/7 self-service option by calling 1-866-316-7263 and pressing 1 when prompted. You’ll need to provide the patient’s PAN member ID and date of birth.

If you need more help, call us at 1-866-316-7263, Monday through Friday, 9:00 a.m. to 5:30 p.m. ET. to talk to our contact center representatives.

Patient Reimbursements

If your pharmacy or provider does not send the bill to PAN, follow these steps:

  1. Pay the out-of-pocket cost for your medication or treatment.
  2. Download the direct member reimbursement form.
  3. Send the form to PAN through the patient portal, mail, or by fax.

After we get your completed form, you should get a check within 10 business days. You can always call us to check the status of your reimbursement request.

Get complete details about the reimbursement process for patients and their caregivers.

Provider claims and billing

The PAN Foundation contracts with Luminare Health (formerly Trustmark) to process medical claims. PAN is the payer of last resort, so all patients must be insured, the patient’s insurance must cover their medication, and the patient’s medication or product must be listed as a covered medication.

Get complete details about the claims process, including what’s covered, how to submit a claim, and more on our pages specific to providers:

Pharmacy claims and billing

The PAN Foundation contracts with SS&C Health to process pharmacy claims. PAN is the payer of last resort, so all patients must be insured, the patient’s insurance must cover their medication, and the patient’s medication or product must be listed as a covered medication.

Get complete details about the pharmacy claims process, including what’s covered, how to submit a claim, checking the status of claims, payment info, adjustments, and what to do if a claim is denied:

Forms

Claims and billing help

If you need help with claims, billing, or reimbursement, you can message us through your PAN portal, or call us at 1-866-316-7263, Monday through Friday, 9:00 a.m. to 5:30 p.m. ET.