Discover Resources & Support
View or download resources for you, your practice, ASC, or patients
Review this important office guide for coding and billing assistance, including sample claim formsDownload
We Pay the Difference Submission Form
Enroll commercially insured patients in the We Pay the Difference reimbursement programDownload
Letter of Medical Necessity
Use this template letter to communicate with payers; this letter can be customized to establish the medical reason that OMIDRIA was usedDownload
For more information, please contact an OMIDRIA Field Reimbursement Manager.
For more information, please contact a Rayner Sales Representative
ASC=ambulatory surgery center; HOPD=hospital outpatient department.