Case Study: CareMetx Transforms Medical Benefit Verification and Prior Authorization Processes for Pharmaceutical Manufacturer

When a provider prescribes a patient a specialty therapy, the next steps often involve a complex navigation of cumbersome, multi-step authorization requirements. Patients must meet these requirements in order to access their care and begin said therapy as prescribed.  This impending onslaught of paperwork and phone calls often causes delays that can threaten continuity of care, which is especially troubling for patients with the kind of complex diagnosis and life-threatening conditions that would require a specialty therapy. 

 

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