Electronic Prior Authorization

KEY BENEFITS

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.

PROVEN RESULTS

ONE SPECIALTY PHARMACY FOUND THE FOLLOWING RESULTS:

93% reduction in PA turnaround time¹

30% reduction in operational costs associated with each new prescription¹

WHO WE SERVE

Our solutions optimize medication management across hospitals and health systems, individual practices, EHR partners, and pharmacies. Partner with us for solutions tailored to your organization’s needs, allowing you to focus on what matters most: patient care.

Hospitals & Health Systems

Hospitals & Health SystemsRead More

EHR & HIT Vendors

EHR & HIT VendorsRead More

Private Practices

Private PracticesRead More

WHAT OUR CLIENTS SAY

“We’re now seeing substantially more prescription fills than we saw from our previous vendor, and a lot of those are high-risk meds for patients over 65. We’re getting very close to what I call ‘the holy grail’ of medication history where every prescription fill record is at our fingertips.” 

Thomas Pickering, PharmDAdministrative Coordinator, Transitions of Care, Cone Health

Electronic Prior Authorization

Overcoming Prior Authorization Hurdles

WE UNDERSTAND YOUR CHALLENGES

Prior Authorization Bottlenecks Slow Patient Care

WE HAVE YOUR SOLUTION

Complex Rules and Requirements Often Result in Denials

KEY BENEFITS

PROVEN RESULTS

WHO WE SERVE

WHAT OUR CLIENTS SAY

RELATED RESOURCES

Speeding Access to Specialty Meds in Oncology: How Electronic Prior Authorizations Make It Possible

Overcoming Hurdles in Specialty Medication Access: Key Insights From Our Recent Webinar

Data Dysfunction: Is Patient Burnout the Next Public Health Crisis?

Automate Your ePA Process