Prior Authorization.
Our PA program removes barriers to care, improves the experience for members and providers, and helps enhance clinical efficiency, quality, and safety.
At the doctor's office.
Our electronic PA (ePA) program uses an enhanced platform to process requests at the point of care, which reduces disruption, lowers costs, and helps improve clinical quality and safety for better member care.
Our services follow the NCPDP national standard for data transactions and ensure regulatory compliance in states where we perform utilization review. We continually monitor changing utilization review regulatory requirements to help ensure continued compliance for all PA services.
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