Reducing barriers to access
More than 40% of prescriptions requiring prior authorization are abandoned at the pharmacy. Even more are filled with an alternative product. That’s why supporting patients during the prior authorization process is key to reducing administrative hurdles to access.
We facilitate communication between the provider, patient and payer during prior authorization. We assist with the submission of documentation and initiate requests via telephone or electronic submission. Registered nurses with case management experience serve as clinical liaisons, reviewing and managing complex payer cases, or offering appeals support. This allows providers to focus on patient care, rather than spending time tracking down delayed or denied claims reimbursement.
Electronic prior authorization
Electronic Prior Authorization (ePA) solutions increase speed to therapy, while enhancing the experience of providers and pharmacy benefit manufacturers. Our electronic solution is connected to all major pharmacy payers, which increases instant approvals, reduces denials, streamlines online tracking and approval notification, and simplifies the recertification process.
Through our RxRescue service, we ensure patients can access their treatment at the point of sale. This innovative solution combines automated support with our high-touch services to help ensure prescription fulfillment success. RxRescue can be paired with other services, such as copay assistance and reimbursement support.
RxRescue doesn't only benefit patients:
Manufacturers can increase fills, reduce abandonment and gain insight into provider and payer activity.
Providers can focus on quality of care while our counsellors reduce administrative burdens.
Patients can begin therapy more quickly and easily, and can be linked with copay support services to help them continue treatment.
Retail and specialty pharmacists receive updates on prior authorization results, working with technology already in their daily workflow.