FAQ - Clinical Research Billing Compliance

Refer to Clinical Research Contact Directory tab located under Resources

A formal coverage analysis is a tool used to coordinate the study information of a clinical trial and review of pertinent trial documents; including but not limited to, protocol, informed consent form (ICF) and study budget. The analysis identifies each service and documents the supporting reason of the final billing designation, i.e.: insurance, sponsor or internal funding source.

Effective 6/1/2013, every new clinical trial at UCSF must have a formal CA performed to identify all items and services within the trial protocol, and document the final billing designations per service. This analysis proactively validates the accurate billing designations, regardless of funding source, prior to subject accrual.