Support for Insurance Denials

How can ZimVie support me?

As a potential candidate for anterior vertebral body tethering for idiopathic scoliosis, ZimVie offers The Tether – Patient Access Program with PRIA Healthcare. This service is intended to help establish coverage with commercial insurers who are not currently covering The Tether. Contact reimbursement specialists at PRIA Healthcare at (860) 321-1356 from 8:30am-5:00pm EST M-F or tether@priahealthcare.com for assistance.

How do I know if my current insurance provider covers surgery with The Tether™?

Contact reimbursement specialists at PRIA Healthcare at (860) 321-1356 from 8:30am-5:00pm EST M-F or tether@priahealthcare.com to learn which insurance plans cover anterior vertebral body tethering for idiopathic scoliosis.

I’ve been denied coverage by my current insurance provider, what do I do next?

One way we can help you obtain coverage is to support your appeal of a denial via processes that are established by your insurance company. Contact reimbursement specialists at PRIA Healthcare at (860) 321-1356 from 8:30am-5:00pm EST M-F or tether@priahealthcare.com for assistance with your appeal.

How do I find a trained surgeon in my area?

Only certified surgeons are listed on the surgeon locator at www.myscoliosis.com/surgeon-locator. Tether certification includes detailed instruction on indications, patient selection, HDE approval and surgical technique overview. It also includes a hands-on experience where surgeons simulate a real surgical procedure on a torso model, utilizing the thoracoscopic approach. The last step is typically a surgical observation, where surgeons spend a day in the O.R. with an experienced faculty member.

The surgeon locator is a free service, helping patients to find qualified surgeons. Since surgeons must choose to be included in the surgeon locator, the surgeon locator list on www.myscoliosis.com may not represent the complete list of all trained Tether surgeons. You should inquire directly with your surgeon about their Tether training status and surgical experience.

Surgeon Locator