At Develop Health, we recognize that a one-size-fits-all approach doesn’t suffice when it comes to the dynamic world of prior authorizations. Different PBMs have varied requirements and preferred channels of communication. To address this, our Omni-Channel Submission Pathways are designed to ensure that prior authorization requests reach their intended destination with maximum efficiency and the highest likelihood of success.

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Features of Our Omni-Channel Submission Pathways:

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1. Adaptive Channel Selection:

  • Our system intelligently determines the most effective submission channel based on the PBM’s preferences and historical success rates. Whether it’s an automated phone call, fax, or electronic prior authorization (ePA - coming soon), we choose the best route for your request.

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2. Unified Dashboard:

  • No matter the channel of submission, track all your prior authorizations from a single dashboard on our platform. This unified view offers a streamlined experience and a quick snapshot of the status of all requests.

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3. Automatic Resubmissions:

  • If a submission faces issues in the primary channel, our system is designed to automatically retry through alternate pathways, enhancing the probability of successful delivery.

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4. Robust API Support:

  • For developers seeking a programmatic solution, our API supports all our omni-channel capabilities, ensuring that integrations are as smooth as direct platform use.

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Benefits:

  • Higher Success Rates: By choosing the most effective submission channel, we enhance the chances of your prior authorization getting approved.
  • Time Efficiency: No more manual tracking or guessing the best submission method. Our system handles it all, saving you precious time.
  • Reduced Errors: Automated selections and submissions mean fewer human errors, leading to smoother approvals.
  • Seamless Integration: Whether you use our platform or integrate via the API, the omni-channel experience remains consistent and efficient.

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Conclusion:

In the complex landscape of prior authorizations, Develop Health’s Omni-Channel Submission Pathways stand out as a beacon of innovation and efficiency. We’ve combined technology with a deep understanding of PBM preferences to offer a solution that not only simplifies submissions but also maximizes their success rates. Our commitment is to ensure that healthcare providers can focus on patient care while we handle the intricacies of prior authorization submissions.