Welcome Providers

WINFertility has the responsibility for management of infertility services, including treatment cycles such as in-vitro fertilization, frozen embryo transfers, and intra-uterine insemination. All outpatient and office infertility treatment services will require prior authorization through WINFertility.
Click here for WINFertility’s customized prior authorization form

The rendering provider should contact WINFertility directly to obtain prior authorization.

  • Services rendered to diagnose infertility do not require prior authorization.
  • Services rendered as part of emergency room services, in the hospital inpatient setting, or in an urgent care setting at the time of the urgent care visit, are not subject to this utilization review program requirements.
  • If a member receiving care in these settings is referred for infertility treatment services at a future date, those infertility treatment services are subject to any applicable program requirements.

 

Prior Authorization

WINFertility’s call center is available at 1-855-255-7197 for prior authorization requests for all infertility treatment services.

All requests for prior authorization should be made with the WINFertility’s customized prior authorization form. The supporting clinical information may be supplied using your own forms / medical records or WINFertility’s customized medical history form.

WINFertility’s Summary of Clinical Protocols

Review the detailed summary of WINFertility’s Summary of Clinical protocols for work up prior to requesting authorization of all infertility treatment services. Click here for WINFertility’s Summary of Clinical Protocols

 

Dr. Barry Witt, WINFertility’s Consulting Medical Director

physician_Witt,BarryOur Medical Advisor Dr. Barry Witt,  is board certified in both reproductive endocrinology and OB-GYN, has been practicing reproductive medicine since 1990. He earned his medical degree from New York Medical College, and completed his residency in obstetrics and gynecology at Albert Einstein College of Medicine. After a fellowship in reproductive endocrinology at Tulane University School of Medicine, Dr.Witt held an academic appointment at Albert Einstein College of Medicine and joined the hospital staff of Montefiore Medical Center.

For 13 years he directed the Donor Oocyte Program at Montefiore’s Institute for Reproductive Medicine & Health, where he was also program director for IVF and medical director for Assisted Reproductive Technologies (ART) for numerous years. In 2003, Dr.Witt joined the Greenwich Fertility and IVF Center, P.C. as Medical Director.

Over his distinguished career, Dr.Witt has received many awards and honors and has published numerous scientific articles in his specialty. Dr.Witt is a fellow of the American College of Obstetrics and Gynecology and a member of the American Society for Reproductive Medicine and the New York Obstetrical Society. He also serves on several national committees.

Lisa Marcus, WINFertility’s Vice President, Clinical Services

lisaLisa has over 30 years of experience in women’s health, which makes her a tremendous resource as WINFertility’s Senior Director of Clinical Services and Quality Assurance. She has been with WIN Healthcare for 10 years.

Prior to WIN she was clinical administrative manager at Montefiore Medical Center’s Institute for Reproductive Medicine and Health in Hartsdale, NY. Early in her career she was an OB/GYN nurse in Texas.