Clinician Resources

Reimbursement Support Center
800-826-2926 option 7
acell@thepinnaclehealthgroup.com
Monday – Friday | 8:30am – 6:00pm Eastern
MimiClon’s Reimbursement Support Center – supported by The Pinnacle Health Group – is dedicated to providing answers to all of your reimbursement questions.
Reimbursement Services
Benefit Verification
- Basic patient benefits
- Insurance coverage
- Patient copay
- Appropriate billing codes
Prior Authorization
- Research prior authorization submission steps and required information
- Submit the prior authorization request (optional)
Claim Appeals
- Research information required to appeal a denied claim
- Submit the appeal (optional)
General Reimbursement
- Research coverage policy information for MimiClon products
- Access MimiClon product reference tools
- Review inadequate
Wound & Burn Reimbursement & Coding Guide
The following information is provided by MimiClon, Inc. as a courtesy and a guide for reimbursement for MimiClon membrane® and Mimic Powder ® wound management devices.
Hernia Reimbursement & Coding Guide
The following information is provided by MimiClon, Inc. as a courtesy and a guide for reimbursement for Mimicsurg® Surgical Matrix devices.
State by State Medicare Coverage Guidance
- Alabama
- Alaska
- American Samoa
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- Florida
- Georgia
- Guam
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Mexico
- New York
- North Carolina
- North Dakota
- Northern Mariana Islands
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Vermont
- Virginia
- Washington
- Washington D.C.
- West Virginia
- Wisconsin
- Wyoming
Reimbursement can vary depending on the payer, contract terms, and site of service. To help physicians, coders, and hospital administrators answer common coding and reimbursement questions and better navigate the complex documentation requirements, MimiClon provides the guides and resources for educational purposes only.
Providers are responsible for verifying coverage with the patient’s insurance carrier, including the applicability of any non-coverage decision that may exist for any of MimiClon’s products. Since reimbursement laws regulations and payer policies change frequently, it is recommended that providers consult with their payers, coding specialists and/or legal counsel regarding coverage, coding and payment issues. MimiClon assumes no responsibility for the timeliness, accuracy and completeness of the coding information suggested to the Provider, Physician and Billing Staff.