The company focuses on specialty drugs and uses a combination of AI and human expertise to automate the process.

There isn’t a specific form your healthcare professional ... If you need an off-label drug, prior authorization can approve your prescription only if its effectiveness is supported by peer ...

Wegovy (semaglutide) is an injectable medication that’s FDA approved ... to appeal an insurance coverage denial. Prior authorization (PA) is a form certain insurance companies require to approve ...

Medicare Advantage prior authorization (PA) is the process you go through to get certain services and drugs approved before ... health plan how to complete the form and loop in your care provider ...

About three years ago, the health system centralized its prior authorization process ... complex and varying insurance forms. This changed a year ago, when the pharmacy team adopted an AI-powered ...

When you’re covered by a TRICARE health plan, you also have pharmacy coverage through the TRICARE Pharmacy Program. And as with any TRICARE plan, it’s important to know how this ...

Rep. Mark Green (R-Tenn.) reintroduced a bill Thursday seeking to reform prior authorization requirements in Medicare, Medicare Advantage, and Part D prescription drug plans requiring only ...