Innovative new submission improvement -- available 24 hours a day, seven days a week -- provides nearly instant responses in most cases
IRVINE, Calif.--(BUSINESS WIRE)-- Prescription Solutions, a leading pharmacy benefits management (PBM) organization and UnitedHealth Group (NYSE: UNH) company, has launched a unique online service to streamline submission, review and approval of Prior Authorization requests.
Prior Authorization is the process in which physicians request certain prescription drugs that require pre-approval from a patient’s health insurance plan.
The new online service enables physicians and health care professionals to submit a real-time Prior Authorization request any time of the day or night, any day of the week. Prescription Solutions is the only major PBM offering the service, which includes a convenient auto-population feature that can intuitively provide 95 percent of a patient’s information and medication history from previously submitted claims, saving time when filling in patient information.
“We have made it possible for our Claim and Prior Authorization systems to ‘talk’ to each other in order to improve service for physicians. This is just one of the many ways we are applying innovative technologies to improve administrative efficiency, giving physicians more time to spend with patients,” said Joseph Addiego, M.D., Prescription Solutions’ senior medical director.
Prescription Solutions’ online Prior Authorization service uses a simplified procedure completed in a few easy steps. After logging on at www.prescriptionsolutions.com with his or her unique National Provider Identifier (NPI) number and password, a physician or health care professional can submit patient details securely online, enter a diagnosis and medical justification for the requested medication, and, in many cases, receive authorization instantly.
With just a few mouse clicks, physicians can submit information that previously had to be collected by phone or fax. If needed, additional clinical review typically can be completed in less than 72 hours. Also, physicians and health care professionals can use the new service to check on the status of a Prior Authorization request, even if it was not submitted online.
A brief online overview of the process is available on the company’s website.
About Prescription Solutions
Prescription Solutions is an innovative pharmacy benefit management company managing the prescription drug benefit of commercial, Medicare and other governmental health plans, as well as those of employers and unions. A UnitedHealth Group company, Prescription Solutions serves customers through a national network of 64,000 community pharmacies and state-of-the-art mail service pharmacies in Carlsbad, Calif., and Overland Park, Kan., both of which have earned the prestigious Verified Internet Pharmacy Practice Sites™ (VIPPS®) accreditation by the National Association of Boards of Pharmacy® (NABP®). Prescription Solutions also won a Platinum Award for URAC’s Best Practices for Consumer Empowerment and Protection Awards for the Multiple Sclerosis Disease Therapy Management Program (2010); and two Silver Awards: the Drug Interaction Alert Program (2009) and Geriatric RxMonitor Program (2008), Additional information can be found at www.prescriptionsolutions.com.
About UnitedHealth Group
UnitedHealth Group (www.unitedhealthgroup.com) is a diversified health and well-being company dedicated to helping people live healthier lives and making health care work better. With headquarters in Minnetonka, Minn., UnitedHealth Group offers a broad spectrum of health benefit programs through UnitedHealthcare Employer & Individual, UnitedHealthcare Medicare & Retirement and UnitedHealthcare Community & State, and health services through Ingenix, OptumHealth and Prescription Solutions. Through its family of businesses, UnitedHealth Group serves more than 75 million individuals worldwide.
David Himmel, 714-226-3772
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