Prior Authorization

Our Prior Authorization solutions help get prescriptions filled faster by bringing prior authorization insights, question sets and responses into clinical workflows.


Electronic Prior Authorization

Electronic Prior Authorization lets healthcare teams easily obtain prior authorizations in real time at the point of care through a fully integrated solution.

Reduces administrative burdens and boosts patient satisfaction

See how health systems and technology vendors can help prescribers automatically identify and quickly process prior authorizations at the point of care to improve efficiency and patient care.

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Increases efficiency and
speeds time to therapy

See how pharmacies can help specialty pharmacists and technicians execute prior authorizations in their pharmacy management system to save time, reduce hassles and get patients on medications faster.

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Prior Authorization Portal

Our Prior Authorization Portal provides a free, online way to easily submit fully electronic prior authorization requests right away, even if the service is not yet available within the EHR.

Eliminates manual prior authorization hassles

Saves users valuable time by eliminating the forms, faxes and phone calls associated with manual prior authorization.

Improves patient and physician satisfaction

Provides rapid prior authorization approvals while patients are in the office, allowing more time for meaningful patient engagement and eliminating surprises at the pharmacy.

Provides quick and easy access

Offers free, immediate access to electronic prior authorization when an EHR-integrated solution is not available.

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Pharmacist perspectives on the specialty fulfillment process

Surescripts commissioned a survey of 414 specialty pharmacists to understand the challenges and bright spots in their work getting critical medications to patients.

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Will clinicians be informed of approval or denial decisions in real-time?

Yes, Electronic Prior Authorization is connected to health plans and pharmacy benefit managers (PBMs) to ensure that clinicians get real-time approval or denial decisions within the EHR, often seconds after submitting a completed question set.

How does the manual prior authorization process impact patient care?

A survey of U.S. physicians found that 94% say the prior authorization process delays care for at least some of their patients. By reducing manual work and wait time, Electronic Prior Authorization can dramatically reduce these delays.1

Will clinicians have to enter patient demographics or medication information into a form?

No, Electronic Prior Authorization is fully integrated into the EHR workflow, allowing the automatic transmission of all patient and provider demographic and medication information to the correct payer, at the touch of a button, without extra work for the clinician.

Is it necessary for clinicians to fill out a paper form or visit a website with Electronic Prior Authorization?

No, Electronic Prior Authorization is completely integrated within the EHR workflow and does not require physicians to leave the familiar context of their EHR to answer prior authorization questions.

Does my EHR have Electronic Prior Authorization?

Electronic Prior Authorization is already available in many of the top EHRs with more adopting the capability all the time. Visit this page to see if your EHR is one of them. Contact your vendor to request Electronic Prior Authorization.

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Let’s discuss how our Prior Authorization solutions can work for you

  1. American Medical Association, “2020 AMA prior authorization (PA) physician survey,” April 2021

Let’s Discuss How Our Prior Authorization Solutions Can Work for You