Electronic Prior Authorization
Electronic Prior Authorization lets healthcare teams accelerate medication delivery by obtaining prior authorization in real time at the point of care through a fully integrated solution.
Reduces administrative burdens and boosts patient satisfaction
See how health systems and technology vendors can help prescribers cut stress, delays and communication barriers from the prior authorization process.
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Increases efficiency and
speeds time to therapy
See how pharmacies can help specialty pharmacists and technicians execute prior authorizations in their pharmacy management system to get patients on medications in less time with less work.
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Electronic Prior Authorization cuts wait time by 13 hours
A peer-reviewed study evaluated the impact of prior authorization technology on time to decision, approval rates and provider workflow.
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FAQ
Yes, when health plans and pharmacy benefit managers are connected, clinicians get real-time approval, denial or partial denial decisions within the EHR, often minutes after submitting a completed question set.
A survey of U.S. physicians found that 94% say the prior authorization process delays care for at least some of their patients. By reducing manual work and wait time, Electronic Prior Authorization can dramatically reduce these delays.1
Electronic Prior Authorization is fully integrated into the EHR workflow, allowing the automatic transmission of patient and provider demographic and medication information to the correct payer, at the touch of a button, without extra work for the clinician.
Electronic Prior Authorization is already available in many of the top EHRs with more adopting the capability all the time. Visit this page to see if your EHR is one of them. Contact your vendor to request Electronic Prior Authorization.
If your EHR is still in the process of integrating Electronic Prior Authorization, you can use the Surescripts Prior Authorization Portal to swiftly submit prior authorization requests and receive responses online.
Wherever the prior authorization process begins, Surescripts can make it more efficient. If a pharmacy encounters a prior authorization requirement, they can jumpstart the process with an RxChange for Prior Authorization message to the prescriber. Benefit plans can also proactively trigger an electronic request for the prescriber to complete.
Surescripts can still help by providing digitized question sets that make it easier to supply the information needed for authorization, often based on prior authorization criteria for the specific drug prescribed.
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- American Medical Association, “2020 AMA prior authorization (PA) physician survey,” April 2021