Streamline PA Operations, Get Members on Therapy up to 22% Faster with ePA1

Our Payer Solution Suite

CoverMyMeds, a leader in electronic prior authorization (ePA) solutions, offers a suite of products to help payers streamline medical and pharmacy benefit medication prior authorization.

Our end-to-end solution suite allows payers to increase operational efficiencies by cutting PA processing time in half, on average,2 and often creating a no-touch PA experience. This can often result in reduced costs and faster time to therapy.1

ePA

CoverMyMeds

Integrate with the nation’s largest ePA network to immediately convert up to 35 percent of PA requests to electronic volume.1

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Criteria Management

Criteria Builder, powered by CoverMyMeds

Manage clinical guidelines and determination logic to power auto-approvals, which can often result in reduced clinical review and member’s time to therapy.

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Workflow Management

CoverMyMeds Central

In as little as 90 days, simplify your PA review process with tools designed to handle electronic, phone and fax volume.

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“The intake team is happy. The system is fast, it’s smooth. This is the first time in a very long time that anyone on the intake team has been happy.”

― Payer client

As a payer, partnering with CoverMyMeds means knowing your investment will be supported through our ePA expansion programs that facilitate provider adoption and utilization.

ePA Expansion Programs

PA Renewals

Designed to improve adherence by proactively engaging with providers in the ePA renewal process. View the case study »

PA Starter

Allows call center agents to begin an ePA for a provider in under 60 seconds, on average, freeing up valuable time. View the case study »

Marketing Campaigns

Designed to increase provider adoption via customized communication outreach.

Get in Touch

Contact us today to learn how CoverMyMeds can build a robust PA solution for your business.

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News & Insights

Upcoming Events

PBMI Drug Benefit Conference

March 5 - 7, 2018 | Palm Springs, CA

The Westin Mission Hills Golf Resort and Spa

71333 Dinah Shore Dr, Rancho Mirage, CA 92270

Be sure to catch CoverMyMeds' Julia Dewey, Manager of Account Strategy & Development, and Express Scripts' Senior Director of Digital Provider Solutions, Rick Klinenberg, as they present on "Improving Adherence and Speed-to-Therapy Through ePA".

HIMSS18

March 5 - 9, 2018 | Las Vegas, NV

Venetian – Palazzo – Sands Expo Center

201 Sands Ave, Las Vegas, NV 89169

NCPDP Annual Conference

May 7 - 9, 2018 | Scottsdale, AZ

Westin Kierland Resort and Spa

6902 E. Greenway Parkway Scottsdale, AZ 85254

Be sure to catch CoverMyMeds' Julia Dewey, Manager of Account Strategy & Development, and Express Scripts' Senior Director of Digital Provider Solutions, Rick Klinenberg, as they present on "ePA Leads to Better Patient Health Outcomes" on May 8 at 10 a.m.

  1. CoverMyMeds data
  2. Payer partner data