Electronic Prior Authorization Process & Automation Software - Agadia

Prior Authorization volumes continue rise, specialty drugs create additional clinical complexities, Health Plans, Pharmacy Benefit Managers (PBMs) Administrators (TPAs) challenged adapt while maintaining improving operational clinical efficiencies. PAHub, HITRUST certified solution that puts tools your fingertips streamline control clinical, compliance administrative aspects Prior Authorization improve compliance, reduce times costs. leveraging latest technologies data mining, data analytics, content management advanced decision support trees, PAHub, enables customers automate prior authorization process. Supported across lines business (commercial, Medicare, Medicaid, etc.) Available across channels (electronic prior authorization (), phone, , , , etc.) Applicable healthcare services, benefit types (pharmacy & medical) Centralized Prior Authorization Solution With influx infused medications being administered physician offices, prior authorizations drugs billed under medical benefit presenting challenges across industry. While there industry NCPDP SCRIPT standard electronic prior authorization () drugs billed under pharmacy benefit, driving significant volume, industry standard does currently exist drugs under medical benefit. challenge with adopting NCPDP SCRIPT standard drugs under medical benefit that these medications typically standard route provider traditional retail pharmacy location. Often times, specialty medications being purchased provider…