Find your prior authorization easy wins

No time for workflow changes, vendor switches or ongoing maintenance? Consider a solution that runs automatically in the background.

As you probably know, prior authorization requirements aren’t always flagged for every prescription up front. Adding automation in the background helps you get these requests moving.

For example, Surescripts Prior Authorization Automation can be set up to check new prescriptions that aren’t sent to your existing queue or vendor, and then automatically pull required clinical data from your EHR and send it to the PBM for approval.

This approach takes manual steps off your team’s plate without asking prescribers or staff to work any differently.

Already have a prior authorization process in place but still seeing requests sit in a queue? Start where automation can make the biggest impact by prioritizing the medications that drive the most prior authorization requests.

When your EHR flags a prior authorization requirement, prescriptions for the medications you target can be redirected out of your standard workflow and into automation. Everything else continues through the process you already have.

For example, Surescripts Prior Authorization Automation can be set up to check prescriptions for targeted medications, and then automatically pull required clinical data from your EHR and send it to the PBM for approval. When all criteria are met, approvals arrive in seconds or minutes, with little or no provider action required. Requests that can’t be automated route back to your current process.

Ready to move past faxes, phone calls and portals—or get more from the electronic prior authorization you already use? Consider a partner that can find the fastest path for each request.

Prior authorization isn’t a one-size fits all process. Some requests meet all criteria up front, some need one more detail and others need a full question set. Bringing these scenarios together in a single solution can help automate both prospective and retrospective requests across your health system.

For example, Surescripts Prior Authorization Automation works with Surescripts Electronic Prior Authorization to approve straightforward requests in seconds or minutes, with little or no provider action required. When a request is almost complete, prescribers answer one or two targeted questions in their workflow while the remaining data is retrieved automatically. Requests that need a full question set move through Electronic Prior Authorization—all inside the workflow your providers already use.

Are your customers asking for easier prior authorization, but you don’t have room on your roadmap for new builds, vendor switches or ongoing maintenance? Consider a solution that runs automatically in the background.

Prior authorization requirements aren’t always flagged for every prescription up front. Adding automation in the background helps get these requests moving.

For example, Surescripts Prior Authorization Automation can be set up to check new prescriptions that aren’t sent to your customers’ existing vendor, and then automatically pull required clinical data from the patient’s record and send it to the PBM for approval. Requests that can’t be automated route back to the current process, with nothing new to build and no training to roll out.

When a prior authorization stalls, prescribers rarely blame the payer—they blame the system in front of them. Whether your platform has fully integrated prior authorization, links out to a vendor or doesn’t offer it yet, consider a partner that can find the fastest path for each request.

Prior authorization isn’t a one-size-fits-all process. Some requests meet all criteria up front, some need one more detail and others need a full question set. Bringing these scenarios together through a single connection can help automate both prospective and retrospective requests across your customer base.

For example, Surescripts Prior Authorization Automation works with Surescripts Electronic Prior Authorization to start requests automatically when a prescription is written. When all criteria are met, approvals arrive in seconds or minutes and with little or no clinician action required. When more detail is needed, prescribers answer one or two targeted questions in their workflow instead of a full form, and requests that need a full question set move through Electronic Prior Authorization.