Reimbursement Resources and Guidance

Find downloadable forms, online resources, reimbursement information and hematology knowledge in one place.

Hematology Support

The Hematology Support Center (HSC) is a dedicated support team assisting patients, healthcare providers, and staff navigate reimbursement challenges, treatment access, and education requests.

Our knowledgeable Case Managers provide:
  • Live Answers
  • Benefits Verification
  • Prior Authorization Education
  • Appeals Information
  • Billing and Coding Expertise
  • Resources, Checklists, and Templates

Contact us at .
Mon – Fri | 8:30 a.m. to 8:00 p.m. ET

Fax Number: 866-467-7740.

Prescription Referral Forms

Getting started is simple.

Fill out and sign a branded prescription referral form and fax that along with a front and back copy of the patient's insurance and benefit management cards to HSC at 866-467-7740.

Reimbursement Resources

Download these helpful tools to ensure your patients receive the treatment you recommend.

Patient Consent Form

HSC requires each patient to provide consent. To expedite enrollment, download and fax completed forms to 866-467-7740.


Prior Authorization Checklist

Follow this simple checklist and take the guesswork out of prior authorization and reauthorization paperwork.


Appeals Reference Guide

A checklist of supporting documents that may help prepare your patient's appeal.


Fax Back Form

Download this form, complete, and fax it along with supporting documents to HSC at 866-467-7740.


Patient Support Programs

Visit the patient HSC site via the links below for additional patient support resources.

CoPay Assistance

Find out if your patients are eligible for CoPay assistance through Shire.

Learn More

Resource Library

These resources in Hematology and Insurance may help provide answers and awareness.

Learn More

Insurance Support

HSC can assist patients in navigating the Health Insurance Marketplace.

Learn More