• MySynviscONE^®
• Benefit Verification

Benefit Verification

Exclusively for the SYNVISC^® family of viscosupplements

MySynviscONE Benefit Verification:

• Verify insurance benefits (medical and pharmacy)
• Obtain prior authorizations
• Coordinate specialty pharmacy
• Track the progress of each case at any time

^†If submitted by 1 PM Eastern Time and no prior authorization or additional information required.

Program features:

eSignature

Integrated into the benefit verification and prior authorization submission forms—does not require printing, signing, and uploading prescriptions

Electronic prior authorization forms

Available for select payers

E-mail alerts

Users may opt in to benefit verification e-mail notifications:

• Daily status report of all open cases
• Alerts triggered by status changes, completion, or information requests

Benefit verification summary report

A summary report is generated for each patient as soon as his or her benefits are verified

Sample Benefit Verification Form

Activate your MySynviscONE account

Call 1-844-MYSYNVISC Monday through Friday, 8 AM to 7 PM, excluding
major holidays, or fill out this form, and our team will contact you.

Request MySynviscONE Information ›