Real-Time Prescription Benefits.

HEALTHCARE PROVIDER HOME PRIOR AUTHORIZATION FORMS ePA PROGRAM REAL-TIME PRESCRIPTION BENEFITS

Real-Time Prescription Benefits.

Better information at the point of care saves time and money for members, prescribers, and payers

Improve outcomes, lower costs, and prescriber efficiency.

The Real-Time Prescription Benefits allows prescribers and members to discuss personalized benefit information, including lower-cost therapeutic alternatives and preferred pharmacies, to make better care decisions at the doctor’s office.

Increases adherence, and lowers costs.

By embedding ePrescribing workflows and electronic medical records (EMRs), this service puts
personalized coverage and benefit information at the fingertips of prescribers and members before prescriptions are sent to the
pharmacy.

Prescribers can see member-specific costs, accumulators and deductibles, alternative retail, specialty, mail order options.

They can also view drug coverage and benefit information, such as prior authorization requirements or quantity limits.

Here's how it helps.

Members.

No Surprises: Members see prescription costs at the point of care
Fewer Delays: Less waiting at the pharmacy for prior authorizations or approvals on lower-cost alternatives
Better Outcome: Informed members are more likely to fill prescriptions and stay healthy

Prescribers.

Better Information: Member-specific information allows prescribers to make more informed decisions at point of care
Better Outcomes: Members are more likely to follow prescribed courses of treatment alternatives
Increased Efficiency: Prescribers spend less time on follow-up calls from pharmacies
Greater Satisfaction: Members leave their doctor’s offices with the lowest-cost medications and face fewer issues at the pharmacy

Payers.

Lower Prescription Costs: Providers are more likely to prescribe the most cost-effective medications for members and plans
Reduces Medical Costs: Members are more likely to follow treatment plans and less likely to need follow-up or emergency room visits
Higher Satisfaction: Plans improve member and prescriber experiences

Developers.

Advanced Interoperability: Supports industry best practices and standards, including HL7-FHIR, to make data sharing more flexible and effective
Highly Secure: Layered security measures help ensure the highest level of security with Client Source IP whitelisting, Mutual Transport Layer Security (mTLS), and OAuth 2.0 Client Credential Flow
Easy Implementation: Submit your request on the Contact Us page and select "Software Developer" under the "How Can We Help" dropdown menu. Please ensure to submit your email so we can reach you.