Prior authorization for physician practices
Prior authorization
shouldn't run your
front desk.Greenline handles prior authorization for your practice, end to end, so your staff can stay with patients.
The problem
Working a PA in-house is a loop with no exit sign.
The request arrives by fax. Someone pulls the chart, answers the criteria in CoverMyMeds, and waits on hold with the payer. Too often it's denied, and it starts again.
Meanwhile, the patient waits for therapy, your staff sits on hold, and the pharmacy faxes again.
Every hour on a PA is an hour away from patients.
- The request arrives by fax
- Someone pulls the chart
- Answers the criteria in CoverMyMeds
- Waits on hold with the payer
- Denied
What your staff stops doing
- Re-keying PA requests
- Holding with payers
- Calling the payer or the pharmacy to check a status
- Printing, signing and faxing forms back
- Writing appeal letters after a denial
How it works
Greenline clears path for every PA, from request to approval.
PA cases reach Greenline on their own.
- EMR integration
- CoverMyMeds link
- E-prescribe to Greenline Pharmacy
Select Greenline Pharmacy when you e-prescribe and Greenline handles the PA, then transfers the prescription to the patient's preferred pharmacy. Your staff doesn't re-key a thing.
PA cases reach Greenline on their own.
- EMR integration
- CoverMyMeds link
- E-prescribe to Greenline Pharmacy
Select Greenline Pharmacy when you e-prescribe and Greenline handles the PA, then transfers the prescription to the patient's preferred pharmacy. Your staff doesn't re-key a thing.
Every case also feeds your practice's analytics: approvals, denials and pending cases by payer and prescriber, top pharmacy rejection reasons, and the medications driving your PA volume.
Security
Compliance is built into how Greenline work, not added after.
- 01
HIPAA compliant.
Every case and every record is handled to HIPAA standards.
- 02
Encrypted channels.
Every channel we use to communicate about a case is encrypted.
- 03
Your CoverMyMeds account stays in your office.
It's accessed only with your authorization, and only from your office's own network.
- 04
You sign what needs signing.
Where a submission needs your signature, it comes to you to sign.
FAQ
Questions practices ask us.
Yes. That's how we submit. You link the practice's CoverMyMeds account once; we pick up PA requests there and submit through it, so your staff isn't the one working them.
See it live in your
walkthrough.
We'll show you what your office would see, using sample data, in about 15 minutes.