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:
How to check your grant balance
You can check the balance of a grant in two ways:
- Log in to your PAN portal account online, anytime 24/7.
- 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:
- Pay the out-of-pocket cost for your medication or treatment.
- Download the direct member reimbursement form.
- Send the form to PAN by mail or by fax.
After we get your completed form, you should get a check within 25-30 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
- Direct member reimbursement form (for patients)
- CMS-1500 health insurance claim form
- CMS-1500 form example
- CMS 1450 UB-04 claim form
- PAN medical claims fax cover sheet
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.
We also provide additional resources for pharmacies and healthcare providers, including claims denial reasons and remediation, and prescription group numbers for pharmacies.
