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Electronic Prior Authorization for Medications

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Electronic prior authorizations (ePA) eliminate the wait time that patients could potentially experience while attempting to fill a prescription that requires a prior authorization. Learn how to send ePAs to the pharmacy and how to track the progress of the ePA from the Pharmacy Alerts page.

Send an ePA

ePAs are initiated during the e-prescribing process and, as such, can be initiated from either the encounter or the Medication List. Our example
e-prescribes from an encounter.

E-prescribe a Medication

epaEprescribe
  • From an encounter, select P > Prescribe from the SOAP menu.
  • Select the desired medication’s checkbox.
  • Click ePrescribe.
epaEprescribe1
  • You are alerted if a prior authorization (PA) may be required.
  • To initiate the prior authorization process, click Create.

Search for a Prior Authorization Form

epaSearch
  • Type search terms. In our example, we are searching for an Aetna PA form.
  • Select the desired form. The selected form displays on the left side.
  • You can choose to use this preauthorization request form to create the ePA or create a task for a medical staff member to complete the form.

Create an e-Prior Authorization Task

Create a task for a medical staff member to create the ePA.

epaTask
  • Click Create Task.
epaTask1
  • The e-Prior Authorization task type is preselected.
  • Complete the task form and then click Save.

Send the ePA to the Plan

epaSave
  • To use the preauthorization request form you selected, click Save.
  • Complete the form and then click Save.
epaSend
  • After you have saved the completed form, click Send to Plan.
  • Monitor the status of your prior authorization request on the Pharmacy Alerts page.

Monitor Prior Authorizations

Keep track of prior authorization requests from the Prior Authorizations tab on the Pharmacy Alerts page.

epaPharmAlerts
  • Click rxAlerts_icon .
  • Select the Prior Authorization tab.
  • To view the preauthorization request, click the Auth ID.
  • To narrow down the displayed list, click the filter that indicates the desired status.

Filters and Statuses

The following lists the filters and their statuses.

  • Closed
  • Determined
  • New/Awaiting Action
  • Sent to Plan

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