E-PRIOR AUTHORIZATION APPLICATION
I don’t understand why my doctor gives me a prescription for a drug that the pharmacy says needs prior approval from my insurance company. Don’t they realize I don’t have extra hours to hang around the drug store waiting for everyone to agree?
App benefits to plan and patient:
- Reduced labor costs for physician and plan/PBM through e-PA submission, review, and determination.
- Increases adherence with prescribed medications by reducing delays at the POS / retail pharmacy.
- Higher margin for plans / PBMs that charge for PA service through lower processing costs.
- Reduces compliance audit headaches through structured reporting of timelines for all PA processing activities.