PerformRx's Prior Authorization (PA) program is supported by Medicaid and Medicare-specific PA oral and injectable product protocols. Our PA protocols are evidenced-based and used within our own membership to support our benefit management strategy, which means that protocols are tested and effective.
This system accepts prior authorization requests via fax or phone and allows our customers to track the progress via the Internet of a specific prior authorization request through fulfillment as well as view medication denials.
PerformPA is menu-driven, which allows our customers to select the PA protocols appropriate for their membership. The PA protocols are evidenced-based and used within our own membership to support our benefit management strategy. PerformPA is automated which streamlines the PA process and reduces inefficient paper transfers.
Some customers, choosing to be more aggressive in cost management, have seen a dramatic increase in cost savings arising from PerformRx's PA program.
The following are differentiators of PerformRx's PA program:
- Medicare and Medicaid specific protocols
- Evidence-based and proven results
- Fully automated, web-based decision tool
- Integrated with POS systems to streamline administrative costs
- 98% of PerformRx's PA determinations are upheld by our customers
