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HEALTHCARE PROFESSIONALS
 

Prior Authorizations

ExpressPAth offers Easy Online Prior Authorization across Both Pharmacy and Medical Benefits

ExpressPAth is an innovative, web-based tool that enables you and your staff to submit, renew and appeal prior authorization requests online. You can also check patient eligibility and benefits in real time. ExpressPAth ensures your patients receive their medications faster while staff spends less time phoning and faxing the health plan.

Register for ExpressPAth Today!

Visit www.express-path.com to register and begin experiencing all that ExpressPAth has to offer. Once registered, you can use ExpressPAth to seamlessly submit and manage prior authorization requests across the medical and pharmacy benefits.

  • ExpressPAth is available to you and your designated agents, such as nurses and non-clinical office staff.
  • The easy step-by-step process includes instructional text and “help” guides.
  • E-mail notification is sent when a decision is made or status changes on a request.
  • ExpressPAth provides real-time status of all prior authorizations.

Benefits

ExpressPAth offers many benefits to you and your patients:

  • Reduced administrative demands – office staff spends less time on the phone or faxing paperwork for prior authorizations.
  • Single platform for all prior authorizations – you can manage prior authorizations across pharmacy and medical benefits.
  • Online benefits check – you can check patient eligibility and benefits online, allowing the patient to get the right medication at the right cost.
  • Real-time approvals – occurring in approximately 80% of cases, real-time approvals are available when a health plan’s clinical criteria requirements are met, enabling patients to get their medication faster.
  • Review of about-to-expire prior authorizations – you can proactively renew prior authorizations up to 90 days before expiration, avoiding potential lapses in patient therapy.
  • Online appeals – up to five levels of prior authorization appeals can be managed online.
 

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