Simplifying medication prior authorization processes

Anthem Blue Cross and Blue Shield and affiliate HealthKeepers, Inc. are committed to offering efficient and streamlined solutions for submitting prior authorizations (PAs).  This helps reduce the administrative burden for physicians while improving the member experience for their patients.

 

Anthem’s Proactive PA process approves select drugs in real time, using an automated prior authorization process. Proactive PA uses integrated medical and pharmacy data to seamlessly approve medication prior authorization requests where diagnoses are required. Anthem’s prior authorization process helps to ensure clinically appropriate use of medications.

 

Providers can take advantage of the electronic prior authorization (ePA) submission process by logging in at covermymeds.com. Creating an account is FREE, and many prior authorizations are approved in real time. Read more about the ePA submission process featured in our December 2018 newsletter called:  “Anthem accepts electronic prior authorizations requests for prescription medications online.”

 

Additionally, providers may be able to access real-time, patient-specific prescription drug benefits information through their electronic medical record (EMR) system. To learn more about this feature, access our October 2018 provider newsletter for an article called:  “Access patient-specific drug benefit information through EMR.”