Providers

Helping Your Patients

We understand the difficulties patients face with affording health care costs. We are here to help.  Submit an application for your patient today.

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Patient Programs

PSI offers financial support for a variety of chronic illnesses.  View our current list of disease funds available to the patient community.

Provider and Pharmacy FAQ

I want to learn how PSI assists patients

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PSI programs are diagnosis specific. Our assistance programs, listed by insurance type, and their status is located on the Patient Programs section of our website. 

What programs does PSI offer?

PSI programs are diagnosis specific. Our assistance programs, listed by insurance type, and their status is located on the Patient Programs section of our website. 

What types of assistance do you offer?

PSI offers several assistance types, dependent upon the program. View more about our assistance types.

What are the application requirements?

Patients must provide documentation of household income and meet PSI financial criteria.

Patient must have an eligible diagnosis. A medical statement may be required for specific assistance types.

I am interested in starting a PSI application on behalf of a patient

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Applications may be submitted using the Guest Application via the PSI website here 

Applications may also be submitted via a Referral Portal account. Please click here to request an account. 

How can I apply for my patient?

Applications may be submitted using the Guest Application via the PSI website here

What information is needed to apply for my patient?
  • Patient’s first and last name
  • Patient’s date of birth
  • Demographic information
  • Health Insurance details
  • Estimated household income
  • Number of household dependents
How can I submit required documents on behalf of a patient?
  • Email: [email protected]
  • Fax: 804-744-9388
  • Mailing Address: PO Box 5930 Midlothian VA 23112

I would like to confirm the status of a patients’ application

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Correspondence is sent to the patient once eligibility determination has been made. The patient may contact PSI to speak with a representative.

How will I know if my patient has been approved or denied?

Correspondence is sent to the patient once eligibility determination has been made. The patient may contact PSI to speak with a representative.

How can I confirm the start date for my patient’s PSI assistance?
PSI may only provide very limited information to the pharmacy or provider. Correspondence is sent to the patient once eligibility determination has been made.

Payment

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If the pharmacy or provider has a date of service(s) that they wish to submit to PSI, they may obtain the ID number from the patient or speak with a PSI representative.
How do I obtain the patient’s PSI ID number?
If the pharmacy or provider has a date of service(s) that they wish to submit to PSI, they may obtain the ID number from the patient.
How do I submit claims for my patient?

Pharmacy claims may be submitted electronically for approved patients. Pharmacies must be contracted with our PBM vendor to submit electronic claims for pharmacy billing of eligible medication copays. Some helpful billing information is below.

Rx BIN:610020
PCN:PXXPDMI

For other eligible medical services/treatments, itemized invoices may be submitted through email, fax, or mail. The following information must be included:

  • Patient’s first and last name
  • Date of birth
  • Date(s) of Service
  • Service(s) provided
  • Diagnosis
  • Medication or Treatment (if applicable)
  • Patient Responsibility Amount
  • Explanation of Benefits (EOB)
How can I find out the status of payment for a claim I submitted for my patient?
PSI communicates directly with the patient regarding payments and assistance. Please contact the patient for payment information.
Why won’t you assist my patient with their medication cost?
PSI provides Copay assistance for eligible patients if the treatment prescribed by their physician is FDA approved and indicated for the program diagnosis.
Is there a time limit to submit claims to PSI?
PSI has a 4-month timely filing limit for eligible claims or payments. Claims must be received within 4 months of the eligible date of service to be considered for payment.

If you have any additional questions or concerns, please contact us directly at (800) 366-7741.