We’re glad you’re interested in the OneTouch® Ping™. Whether you're ready to begin the process of getting your pump now or just want to familiarize yourself with the steps, you'll find what you need to know here. Questions? Call 1-877-YES-PUMP (877-937-7867, option 3) or e-mail.
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Download forms and print a copy of each.
Assignment of Benefits form (AOB) and Patient Information form
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Fill out the Assignement of Benefits (AOB) form.
This form gives Animas permission to contact your insurance company, contact your physician, and help you throughout the insurance process. A pump specialist determines your benefits, then acts on your behalf to gain insurance authorization. Filling out the AOB does not obligate you to purchase a pump in any way.
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Fill out the Patient Information form.
This form provides us with the information we need if you want to proceed with obtaining an insulin pump.
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Fax or email your forms
Fax: 1-877-331-7300
Mail: Animas Corporation, 200 Lauwrence Drive, West Chester, PA 19380.
Once the paperwork is processed, we'll ship your pump and contact you to help you get started with training.
By submitting your information, you agree that it will be governed by our Privacy Policy.
For use in the United States only. For international requests, please contact your local Animas Corporation division or distributor.
