• Helps ensure patients receive the medication preferred by their doctor
• Reduces prescription abandonment
• Builds relationships and improves PA response via collaboration with other healthcare professionals
• Improves pharmacy and prescriber productivity via a streamlined PA process
• Reduces follow up calls to the prescriber
PriorAuthPlus helps pharmacies initiate medication and plan specific Prior Authorization (PA) forms via a resubmitted claim. This free service works for most commercial and government (i.e. Medicare & Medicaid) prescription benefit plans.
Upon receipt of a Prior Authorization related rejection (“70”-NDC Not Covered, “75”-Prior Authorization Required and “76”-Plan Limitations Exceeded), resubmit the claim to the PriorAuthPlus BIN (BIN #015079). RelayHealth uses the claim and rejection data from the original claim to create a PA form in CoverMyMeds. A rejected response is delivered in response with instructions on how to access the PA form in CoverMyMeds. Confirming the PA form autofills patient, medication and prescriber information from the original claim. The prescriber’s office adds clinical information, digitally signs the form, and faxes the form to the health plan via CoverMyMeds.
Veridikal Technologies is a company focused on providing business analytic solutions for pharmacy and hospital business sectors. Our aim is to simplify the complexities of pharmacy data management. Veridikal offers Pre and Post Edits (PPE), Pharmacy Benefit Administration (PBA), and Medication Reconciliation solution sets designed to meet the unique needs of various classes of trade including hospitals and medical centers, university health systems, long-term care pharmacies, retail pharmacies, specialty pharmacies, hospices, correctional facilities, and employers/self-insured plans. Veridikal's advanced and informative pharmacy solutions are trusted and relied upon by all pharmacy classes of trade, pharmacy wholesalers, PSAO's, GPO's, industry advocacy, and regulatory groups.
This post is related to:
Finance: PSAOs, Revenue Cycle Management, Reconciliation Finance: Worker's Comp, Claims, PA Management, Adjudication Patient Care: Assistance Programs, Loyalty Resources, Discount Cards Practice Setting: Community / Retail Pharmacy Resources Practice Setting: Health System Pharmacy Resources Practice Setting: Long-Term Care Pharmacy Resources Practice Setting: Specialty Pharmacy Resources
