Image collage representing a patient, a doctor and a pharmacy working together to get the patient medication

Prior Auth Made Simple in Your Epic Workflow

When a patient's insurance plan requires a prior authorization for a medication, it can lead to delays in time to therapy and increases the likelihood that a patient will abandon their prescription.1

How We Help

CoverMyMeds’ integrated electronic prior auth solution provides a simpler and more streamlined way to review, complete and track prior auth requests directly within your EHR workflow.

SOLUTION FEATURES

  • All-payer, all medication capabilities: Direct payer connections allow for quick transfer of information and keep care team members within Epic, which can lead to faster prior auth turnaround time.
  • Prospective and retrospective workflows: Works at the point of prescribing as well as upon pharmacy request following a claim rejection, ensuring patient support throughout the prior auth journey.
  • Custom PA Detail view and support: Visibility into prior auth status, manage inbound and outbound attachments without leaving Epic. Dedicated account management team and access to live prior auth experts ensures success post-implementation.

KEY BENEFITS

  • Full visibility: All care team members have access to prior auth process within Epic.
  • Faster submissions than phone: Skip the hold music and phone trees and complete a prior auth without talking to a live representative.
  • Faster determinations than fax: Direct connections to payers allow for determinations to be made in a shorter amount of time.
Computer with an Rx and clock

Within our integrated workflow, speed to prior auth determination is up to two days faster on average than submitting through covermymeds.com.2

Let's Connect

We want to help you simplify the prior auth process by connecting to CoverMyMeds’ leading industry network of 900,000 providers, 75% of EHRs, over 50,000 pharmacies and payers representing 94% of prescription volume. Please fill out the form to connect with our team.

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Latest Insights

  1. 1. CoverMyMeds Patient Survey, 2022.
  2. 2. CoverMyMeds.com portal and EHR prior authorization randomized data July 2022 through December 2022.
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