Approved Use: Aimovig® is a prescription medicine used for the preventive treatment of migraine in adults.

For eligible commercially insured patients
FOR ELIGIBLE COMMERCIALLY INSURED PATIENTS

How to Process a Claim

Welcome! You've come to the right place to learn how to process an insurance claim for Aimovig® (erenumab-aooe).
Still have questions about claims processing? Call the Change Healthcare Help Desk at 800-422-5604.
Are you a patient? See our Patient FAQs.

How do I process a claim?

The Aimovig Ally Access Card has two offers within the program depending on whether the patient has eligible commercial coverage at the point of adjudication.

  1. If patient with commercial coverage is rejected or has a managed care restriction (i.e. Prior Authorization (PA), Step Edit or NDC Block), continue to process the card ➔ Bridge Offer (i.e. Code 03): 1-Submit the claim to the primary Third-Party Payer first. 2-If you receive a rejection due to the commercial coverage being rejected or to a Managed Care Restriction, continue processing the Aimovig Ally Access Card as a Secondary Payer with valid Other Coverage Code (OCC) of 3. Note that the patient is not responsible for any co-pay, and reimbursement will be received from Change Healthcare. Patient is limited to 12 total fills, not to exceed one fill per month, for up to 24 months from24 months from enrollment. Offer is subject to a per fill cap of wholesale acquisition cost plus usual and customary pharmacy charges. Please see the Terms and Conditions for the full program details.
  2. If patient with commercial coverage is approved ➔ Copay Offer (i.e. Code 08): Submit the claim to the primary Third-Party Payer first, then submit the balance due to Change Healthcare as a Secondary Payer with patient responsibility amount and a valid Other Coverage Code (OCC) of 8. The patient is responsible for the first $5 and reimbursement will be received from Change Healthcare up to the maximum limit for the program. Please see the Terms and Conditions for the full program details.

The Aimovig Ally Access Card is not valid for any patient uninsured or receiving prescription reimbursement under any federal-, state-, or government-funded healthcare program (e.g. Medicare).

**PLEASE NOTE: Every pharmacy has different systems and procedures. For any questions, the pharmacist or pharmacy tech can call the Aimovig Ally Care Center at 833-AIMOVIG (833-246-6844), Monday – Friday, 8 am – 9 pm ET.

I’m getting a reject code when I run the card; it’s not working.

Ensure the patient’s primary insurance member ID is in the primary field, and access card ID is in secondary field; this is the case whether patient is commercially insured and covered (OCC = 8) or commercially insured but not covered (OCC = 3).

If you get reject code = 70, 75, or 76, then patient should be in Bridge to Commercial Coverage Offer (OCC = 3).

For additional information, please call CHANGE HEALTHCARE at 800-422-5604.

How do I enroll a patient in the Aimovig Ally Access Card Program?

Patients must enroll themselves at www.aimovigaccesscard.com. They may do this on their desktop or mobile device. If the patient is unable to enroll online, they may call 833-AIMOVIG (833-246-6844). If a patient is eligible, they’ll instantly receive a card enrollment confirmation notice (the enrollment approval page that contains the patient and pharmacist instructions), which they can print and take to the pharmacy today with their prescription and insurance card. A copy of the Aimovig Ally Access Card will also be emailed to them upon successful enrollment.

Download the Pharmacy Instructions Guide

download the guide
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