Electronic Prior Authorization Program to Help Patients Get Faster Access to Prescription ... ( BlueCross BlueShield of Tennessee a...)

Electronic Prior Authorization Program to Help Patients Get Faster Access to Prescription Medication

Date:5/1/2009

BlueCross BlueShield of Tennessee and Horizon Blue Cross Blue Shield of New Jersey to Launch New CVS Caremark eHealth Technology

CHATTANOOGA, Tenn., NEWARK, N.J. and WOONSOCKET, R.I., May 1 /PRNewswire/ -- Gaining prior authorization for prescription medication requires phones calls, faxes and request forms, which often can be time-consuming. Fortunately for both providers and patients, help is on the way to streamline and accelerate this process.

(Logo: http://www.newscom.com/cgi-bin/prnh/20090226/NE75914LOGO )

CVS Caremark, Blue Cross Blue Shield of Tennessee and Horizon Blue Cross Blue Shield of New Jersey announced today that physicians and other providers who prescribe medicines throughout Tennessee and New Jersey will have access to instant prior authorization status for their patients' medications through an electronic Prior Authorization (ePA) pilot program.

Prior authorization requires physicians to show the medical necessity for a patient to receive a particular medication. The process can be inefficient. A study published last August suggests clinicians and their office staff spend an average of 4.6 hours a week fulfilling requirements of the prior authorization process.(1)

In this new collaboration, physicians and other providers who prescribe medicines will use the CVS Caremark iScribe Web portal to answer coverage criteria related to a prior authorization requests and receive an immediate status update regarding the approval or denial for the medication.

"Today's prior authorization processes are dependent upon completing paper request forms, faxing and phone calls between the practice, the pharmacy and the prior authorization department. By ta
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