Enroll your patients today
Help your patients get started on ANDEMBRY
Follow the steps below. We recommend that you print and fill out the form below or start the enrollment process before your patient’s visit in case additional information from their insurance company is requested.
Step 2:
use prior authorization checklist
Verify you have the diagnostics that insurers often require.
Step 3:
submit to ANDEMBRY Connect
Use our electronic form or download and Fax the completed form(s) to ANDEMBRY Connect at 1-866-415-2162.
