Benefits and coverage
Helps the patient and clinic verify benefits and navigate plan requirements, prior authorization, denial, and appeal steps.
What it does
EntyvioConnect researches benefit coverage, communicates known plan requirements, and provides administrative help around prior authorization, denials, and appeals. The prescriber remains responsible for clinical submissions.
Open official program pageAvailable to patients prescribed ENTYVIO who enroll and authorize the program to work with the clinic and insurer.
Sign the EntyvioConnect authorization online or on the official form.
Attach both sides of the medical and pharmacy cards.
Complete the relevant clinical and prescription sections; provide records requested by the plan.
The fastest clinic route is the EntyvioConnect provider portal; the clinic can also fax the enrollment form. Include insurance cards, authorization, prescription/clinical information, and the IV treatment site when applicable.
Best for: Services requiring clinical information, a prescription, or prescriber attestation
Patient completes demographics and the authorization/consent section of the official form.
Owner: Patient
Have ready: Contact information, Signature and date
Clinic Staff And Prescriber, EntyvioConnect, Patient, Health Plan, Treatment Site Or Pharmacy
EntyvioConnect
Benefits investigation, authorization, savings, temporary access, patient assistance, and nurse support.
Monday-Friday, 8 AM-8 PM ET
Comprehensive official HCP page describing service eligibility, duration, and benefit limits.
Identify the intended treatment location if known.
Prescriber completes the prescription, clinical, insurance, and service-selection sections and attaches supporting records.
Owner: Prescriber or clinic staff
Have ready: Completed patient authorization, Insurance cards, Prescription and prescriber signature
Submit the completed form by fax to 1-877-488-6814.
Owner: Clinic staff
Best for: Patients or caregivers who can complete the official web form
Enter the requested patient, prescription, contact, and insurance information; select the services requested.
Owner: Patient or caregiver
Have ready: Condition, Formulation, Treatment status, Insurance, Doctor, Authorization
Review the authorization and program terms, provide consent, and submit the form.
Owner: Patient or caregiver
After enrollment: The hub communicates benefit findings and missing requirements. Clinic staff complete plan forms and submit clinical rationale; the hub can help track the resulting decision.
If there is a problem: Call to confirm receipt and ask which party owns any outstanding plan requirement.
Official enrollment form includes patient, provider, insurance, prescription, and service sections.
Explains portal and fax enrollment and the information needed for a complete case.
