Overcoming Prior Authorization Hurdles

Activate end-to-end automation and power up specialty drug access with our integrated, all-in-one electronic prior authorization (ePA) technology.

Prior Authorization Bottlenecks Slow Patient Care Time-consuming manual processes, frequent errors, delays in patient care … sound familiar? Clinicians often struggle to get payer approval for medications because of complex, plan-specific requirements and rework due to missing information. These inefficiencies reduce productivity, increase denial rates, and delay treatments, impacting both patient outcomes and your revenue.

Complex Rules and Requirements Often Result in Denials From benefit checks to prior authorization submissions, our technology reduces manual work by 70% by providing patient-specific information and automating tasks. Get patients the medications they need quickly—whether they are covered by medical or pharmacy benefits.

Features

Integrate real-time benefit information and prior authorization insights directly into your workflow by combining low-touch automation with patient health information, clinical documentation, and payer policy details. From end to end, our technology simplifies the ePA process.

• **Patient-Specific Benefit Verification: **Instantly identifies medical and pharmacy benefits, copays, deductibles, and more.
• **Insurance Discovery: **Accurately finds all active coverage and specific benefits with smart algorithms.
• **Automated Process: **Determines if prior authorization is needed, checks for errors, submits requests, and tracks status—all in one place.
• **Patient Financial Responsibility: **Calculates out-of-pocket costs for any service using contracted rates and patient benefits, improving patient experience and reimbursement levels.
• **Streamlined Specialty Med Access: **Automatically handles prior authorization for any prescribed therapy, whether under medical or pharmacy benefits.
• **True Workflow Integration: **Enhances user experience with a single interface or a FHIR API integration into your EHR.