PromptPA -- Online Prior Authorizations/Coverage Determinations

Date Issued: 6/5/2014

PromptPA is an online portal that enables physicians, other providers and patients to submit Prior Authorizations/Coverage Determinations requests for a prescription medication.

Physicians can use the portal without having to register, and can answer the questions needed to qualify their patients for coverage. Final determinations can also be viewed on the site.

Other providers such as Pharmacies, Home Health Care agencies and Nurses can use the portal to initiate the Prior Authorization/Coverage Determination process for their patients, and view the final determination.

Members can not only initiate the process using PromptPA, but can also use the portal to check on the status of their requests and be more involved in the process. Patients can also view the outcome online when the process is completed.

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