Prior authorization services: Ensuring that your patients can get access to the medications they need while reducing administrative hassles for your practice.
Prior authorizations are very common in the world of specialty pharmacy, since these drugs may be higher cost than other medications you prescribe. This means that insurance carriers want to closely oversee the prescribing process. Fortunately, Avella can take on much of the work involved in securing prior authorizations for your patients, easing this burden so that you and your staff can focus on providing quality care.
We have an entire pharmacist-led team dedicated to managing this process. These individuals have the training and specialized knowledge needed to request the right information from you and your staff. Then we can work with the insurance company directly. This reduces “phone tag” between the carrier and your practice, freeing up time for your staff to focus on other important issues.
Avella’s highly-trained Prior Authorization team members also have the knowledge necessary to fill out this paperwork accurately and quickly. This helps ensure your patients can receive rapid access to the drugs that you prescribe.
In fact, Avella’s years of experience handling prior authorizations for our patients have led to impressive results:
- Last year, we managed more than 10,000 prior authorizations.
- Our average turnaround time is only 2.1 days.
- 90% of the prior authorizations we submit are approved.
If the patient can’t afford the cost of their medication, even with drug coverage from their insurance company, we can also find out whether they qualify for financial assistance programs from drug manufacturers and non-profits. We will even manage this process simultaneously as we seek approval from their insurance company.
Pediatric Transplant Coordinator, Rainbow Babies and Children's Hospital