Prior Authorization Solutions

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Streamlining the prior authorization process 

Prior authorization (PA) is a prominent component to provide patient care, especially with complex specialty therapies - and it’s an equally well-established pain point, triggering delays in patient access to medicines, and eroding operational efficiency with complex, manual procedures.

As part of MHA’s commitment to enable the success of our members and help improve operational efficiency with innovative technologies, MHA members have access to MHAuthorizeRx™ powered by CoverMyMeds®.

MHAuthorizeRx is an easy-to-use and secure Web-based tool that helps pharmacies collaborate with prescribing physicians to submit prior authorizations for any drug–including specialty pharmaceuticals - to nearly all health plans. Using the tool requires just a few clicks, to create an automated, paperless experience and ensure that prescriptions are filled efficiently and with up-to-date information.

MHAuthorizeRx can help:

  • Enhance productivity
    • automate the PA process inside your pharmacy dispensing system
    • find, submit, and track prior authorizations in one centralized site
    • expedite response times through real-time communication with providers
    • access built-in analytics platform for visibility to PA activity and trends
  • Improve patient care
    • reduce delays in getting patients the medications they need
    • prevent prescription abandonment due to claim rejection
  • Increase revenue
    • capture lost prescriptions that would otherwise be abandoned after the first claim rejection

MHAuthorizeRx is applicable for Medicare, Medicaid and commercial plans, and is fully compliant with HIPAA guidelines.

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To find out more about how MHA can help streamline the PA process.

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