Surescripts Electronic Prior Authorization System

A Surescripts Electronic Prior Authorization System is an ehr-integrated workflow-based electronic prior authorization system by Surescripts, LLC that can support digital prior authorization submission tasks.

• AKA: Surescripts ePA, Surescripts Electronic PA, Surescripts Digital Prior Auth.
• Context:
  • It can (typically) enable Surescripts In-EHR Authorization Submission through surescripts integrated workflows.
  • It can (typically) transmit Surescripts Prior Authorization Requests via surescripts electronic channels.
  • It can (typically) receive Surescripts Authorization Decisions within surescripts ehr interfaces.
  • It can (typically) track Surescripts Authorization Status using surescripts real-time updates.
  • It can (typically) reduce Surescripts Manual Processing through surescripts automation features.
  • ...
  • It can (often) attach Surescripts Clinical Documentation to surescripts authorization requests.
  • It can (often) route Surescripts Specialty Medication Requests to surescripts appropriate payers.
  • It can (often) manage Surescripts Authorization Appeals within surescripts digital workflows.
  • It can (often) provide Surescripts Decision Notifications to surescripts care teams.
  • ...
  • It can range from being a Basic Surescripts Electronic Prior Authorization System to being a Comprehensive Surescripts Electronic Prior Authorization System, depending on its surescripts feature completeness.
  • It can range from being a Single-Payer Surescripts Electronic Prior Authorization System to being a Multi-Payer Surescripts Electronic Prior Authorization System, depending on its surescripts payer integration.
  • ...
  • It can utilize Surescripts NCPDP Standards for surescripts message formatting.
  • It can implement Surescripts Security Protocols for surescripts data protection.
  • It can maintain Surescripts Audit Logs for surescripts compliance tracking.
  • It can employ Surescripts Integration APIs for surescripts ehr connectivity.
  • ...
  • It can achieve 5.7 Hour Median Decision Time improving surescripts response speed.
  • It can reduce Administrative Phone Calls through surescripts electronic communication.
  • It can increase Provider Satisfaction via surescripts streamlined process.
  • ...
• Examples:
  • Surescripts ePA for Commercial Payers handling surescripts commercial insurance authorizations.
  • Surescripts ePA for Medicare Plans processing surescripts medicare advantage requests.
  • Surescripts ePA for Specialty Pharmacies managing surescripts complex medication approvals.
  • ...
• Counter-Examples:
  • Fax-Based Prior Authorization, which uses manual paper processes.
  • Phone-Based Authorization System, which requires verbal communication.
  • Portal-Only PA System, which lacks ehr integration.
• See: Prior Authorization, Electronic Health Record Integration, Healthcare Workflow Automation, NCPDP Standard, Payer-Provider Communication, Administrative Burden Reduction, Healthcare Interoperability, Clinical Documentation, Authorization Management, Digital Healthcare.

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