Electronic Prior Authorization

WE HAVE YOUR SOLUTION

Intelligent ePA Designed to Reduce Friction and Get Patients on Therapy Faster

We put prior authorization intelligence directly into the workflow, either as part of your e-prescribing solution from DrFirst or an API integration. This AI-enhanced solution pre-populates answers to payer questions and gives providers one place to manage coverage for complex orders, procedures, and medications. This streamlines the ePA process from start to finish, reducing manual work and the back-and-forth—so patients can start therapy and get procedures done sooner.

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.

REGULATORY COMPLIANCE

Fully compliant with HTI-4 and CMS mandates for ePA upgrades, so your organization meets regulatory requirements without added burden.

End-to-end Automation

Determines if prior authorization is needed, checks for errors, submits requests, and tracks status—all in one place.

Patient-Specific Benefit Verification

Instantly identifies medical and pharmacy benefits, copays, deductibles, and more. Calculates out-of-pocket costs for any service using contracted rates and patient benefits, improving patient experience and reimbursement levels.

Specialty Medication Access

Speed access to innovative drugs that bring hope to patients diagnosed with complex, chronic, or rare diseases.

Learn More →

UNIFIED PA MANAGEMENT

Pharmacy and medical benefits are managed in a single workflow, eliminating the need to toggle between systems or portals.

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.