Real-time Benefit Verification and ePrior Authorization

San Francisco, CA  |  Hotel Kabuki

Jaime Carter, Director of Product Strategy leads a panel discussion, "Improvements in the Real-time Adjudication Process to Elevate Patient Access – What is Possible?" Panelists will talk to Identifying what is possible for real-time patient access services through a more electronic and automated approach to benefit investigation.

• Streamlined, standardized and more automated authorization process
• Real-time access to formulary data
• A near real-time decision on a PA request
• The electronic transmission of a provider’s PA request and health plan response

Panelists

Perry Lewis
Vice President of Industry Relations

CoverMyMeds, LLC

Heather McComas
Director
Administrative Simplification Initiatives

American Medical Association

Edward M. Plut, PharmD
Director, Product Management

Allscripts Payer & Life Sciences

Myra Reinhardt
Director, Product Management
TransUnion Healthcare

As patients continue to navigate the evolving healthcare system, many questions arise around coverage benefits, patient eligibility, out-of-pocket obligations and more. Delays in the current benefit investigation/verification process and subsequent submission of paper-based prior authorization requests can lead to harmful delays in patient access to treatment, therapy drop-off and discontinuation of medications.

The industry is clamoring for a more streamlined, standardized and primarily automated approach to coverage determination. As such, CBI’s premier Real-Time Benefit Verification & ePrior Authorization Forum convenes manufacturers, payers, PBMs, physicians and leading service providers to address these challenges and discuss the adoption of ePrior authorization and other emerging electronic patient services/technologies to ultimately ensure prescription access for patients in need.