Surescripts Prior Authorization Reviews & Product Details

Maximize all sources of revenue, reduce cost and expedite payment with a simplified and unified platform that integrates payment processing across HIS, PM and EMR systems—unlocking unprecedented, actionable insights for improved revenue cycle performance. No matter the size or scope of your organization, we can help you save time and effort so you can get back to helping those who need it most.

SPRY is a comprehensive clinic management platform designed for physical therapy (PT) clinics, offering an end-to-end solution that streamlines operations for clinic owners, physical therapists, and front desk staff. This purpose-built software integrates AI-driven tools to optimize daily workflows, from patient scheduling and clinical documentation to billing, compliance, and home exercise program (HEP) management, allowing healthcare providers to focus on delivering quality care while efficiently managing administrative tasks.

Silna is building the only solution specialty healthcare providers need to financially clear patients for care, with an explicit focus on streamlining the prior authorization process. Prior auths are the most manual part of the billing workflow and an increasing burden that delays time to care, reduces claims approved, and increases admin costs for providers. Silna works with providers in Physical Therapy, Occupational Therapy, Speech Therapy, ABA, and Behavioral Health, to handle the entire patient clearance workflow (benefits and eligibility checks, prior authorizations). Silna handles all of the processes to clear a patient for care, so providers can do what they do best – offering exceptional care.

Integrated, cloud-based SaaS healthcare software for medical providers and organizations, including Clinical Management and Practice Management solutions like Electronic Health Records, E-Prescribing, Patient Engagement, Medical Billing, Patient Scheduling, Mobile Apps, and more.

CoverMyMeds is a healthcare technology platform dedicated to improving medication access by streamlining the prior authorization (PA) process. By automating and integrating PA workflows, CoverMyMeds connects healthcare providers, pharmacies, and health plans, reducing administrative burdens and accelerating patient access to necessary medications. The platform's extensive network includes over 950,000 providers, 50,000 pharmacies, and most health plans, representing 96% of prescription volume. Key Features and Functionality: - Electronic Prior Authorization (ePA): Automates the PA process, enabling providers to submit requests up to three times faster than traditional methods, thereby reducing approval times from days to minutes. - Real-Time Benefit Check (RxBC): Provides prescribers with patient-specific prescription cost and coverage information at the point of prescribing, helping to reduce prescription abandonment. - Extensive Integration: Seamlessly integrates with over 350 electronic health records (EHRs) and numerous pharmacy management systems, allowing for in-workflow submission, automatic form population, and real-time status updates. - Comprehensive Network Connectivity: Maintains connections with a broad network of health plans and pharmacy benefit managers, enabling electronic prior authorization submissions across most major payers. Primary Value and User Solutions: CoverMyMeds addresses critical challenges in the healthcare system by reducing the time and complexity associated with prior authorizations. By automating these processes, the platform minimizes administrative burdens for healthcare providers and pharmacists, leading to faster medication access for patients. This efficiency helps decrease prescription abandonment rates and improves patient adherence to prescribed therapies. Additionally, the platform's real-time benefit information empowers prescribers to make informed decisions, enhancing the overall quality of care.