Pharmacy Prior Authorization
The Softheon Pharmacy Prior-Authorization workflow solution provides a fully customizable case management system capable of tracking drug prior-authorizations
Softheon Business Connector Pharmacy Prior-Authorization provides a simplified process that consistently applies prior authorization rules and efficiently manages workflow. Softheon solutions integrate easily with a variety of third-party applications, an advantage that similar systems do not offer.
- Provides secure global access and opportunities for outsourcing to business partners
- Decreases costs related to PPA using collected data for decision-making, e.g. "Should a drug require pre-authorization if it is approved in more than 95% of cases?"
- Provides information for timely decision-making related to prior-auth cases
- Realizes savings related to gathering data from disparate systems for audits, governmental, and professional organization reporting as the result of a single platform, which provides more reliable data
- Enables work to be distributed and performed in a consistent manner while providing support for the collection of data and statistics for operational and predictive modeling scenarios
- Ensures full compliance with CMS, and Medicare Part-D guidelines