How to process Electronic Prior Authorization (EPA)?

How to Process EPA?

• When the payer responds to the initialized request with a few questions the status will change.
• Then PA status will change from In Progress-initialized to In Progress-Open. 

• Click on status to view the EPA record details
• And then click the Close button.

• Click the Open Accelerator button.
• Through the accelerator, the prescriber will answer the questions and provide the details on behalf of the patient. 
• Click on the notes View to see the payer Response Note.

• Click on Complete Prior Auth Criteria to get the payer’s questions.

• Click the START button to answer the payer’s questions.

• Fill out the questions one by one and attach the required document in PDF format.
• Click the SUBMIT button. 
• These details will be submitted to the payer.

• Once the prescriber submits the answers, the payer will approve the prescriber’s answers through Surescripts.
• Then PA status will change from InProgress-Open to InProgress-Approved.

• The prescriber must acknowledge the payer’s response via Accelerator. 
• Click the ACKNOWLEDGE button.

• Once the prescriber acknowledges the payer’s response, the PA status will change from InProgress-Approved to Complete-Approved.

• When the status is “Complete-Approved,” the prescription will automatically move to the pharmacy. This process is referred to as an auto-release process.
• The Complete-Approved record will be released to EPA worklist automatically.