CoverMyMeds

CoverMyMeds automatically prompts you to initiate a prior authorization (PA) request upon claim rejection within the PrimeRx™ workflow.

• Step 1: At the point of claim rejection, the pharmacy staff follows their normal process to resolve the claim outside of the PA process.
• Step 2: If the rejection is unable to be resolved, the pharmacy staff clicks “Start PA” within PrimeRx.
• Step 3: The prescriber is then notified of the rejection and resolution options.

Benefits: 

• Works for any medication and all plans, including Medicare Part D and Medicaid
• Helps return faster determinations and increase customer satisfaction
• Flexibility for workflow customizations specific to pharmacy needs
• Easily customize your workflow options by contacting CoverMyMeds at 1-866-452-5017 or by live chat at covermymeds.com 

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