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Emergent Healthcare

Prior Authorization Services

Every prescription followed to the patient’s hands — then confirmed.

A treatment begins the moment the medication is in the patient’s hands. We open and chase every prior authorization until it is approved, investigate coverage before the patient arrives, and follow every prescription to the door — then call to confirm it arrived.

Request your free consultation →See how it works
  • Daily Follow-Up
  • Prescriber Line
  • HIPAA-Compliant

Meet the team · 1 min

Felipe Montero

Pharmacy Support Team Lead

  • How we chase every prior authorization to approval
  • Why a prescription unfilled is care that never happened
  • HIPAA compliance, audited and verified

The problem we solve

A prescription that never gets filled is care that never happened

  • Prior authorizations that stall

    Days of phone calls while the patient waits and the treatment does not start.

  • Prescriptions never filled

    Coverage surprises at the counter end treatment before it begins.

  • Adherence nobody tracks

    The refill that never happened shows up as a worse outcome months later.

What's included

One division, the whole operation

Prior Authorization Outsourcing for Medications

Prior authorizations opened, chased and followed all the way to approval — with a direct line to the prescriber so coverage never stalls.

  • Prior authorization opened and chased to approval
  • Appeals prepared and submitted
  • Direct line kept open to the prescriber
  • Status documented and reported
Learn more

Medication Prior Authorization Services

Every request opened the day the prescription is written, tracked payer by payer, and chased daily until it clears — with the appeal prepared the moment a denial lands. This division handles medications end to end.

Prior authorizations for procedures and imaging run in our Shared Services Division →

Replaces: days of hold music for your staff. Ask about this →

Benefits Investigation Services & Formulary Review

Benefits investigation and formulary review before the patient arrives, so coverage is clear and nobody is surprised at the counter.

  • Benefits investigation before the visit
  • Formulary and coverage review
  • Cost expectations communicated in advance
  • Alternatives flagged to the prescriber
Learn more

Replaces: coverage surprises at the pharmacy counter. Ask about this →

Patient Assistance Programs

Guidance through whatever assistance program the patient qualifies for — applications prepared and followed to approval.

  • Assistance program eligibility screening
  • Applications prepared and submitted
  • Follow-up to approval
  • Copay support coordination
Learn more

Patient Assistance Program Support, Application to Approval

Manufacturer programs, foundations and copay support screened for every eligible patient — applications prepared, submitted and followed until the answer comes back. When a program says yes, we coordinate enrollment so the medication actually ships.

Replaces: treatment abandoned over cost. Ask about this →

Medication Adherence Programs & Refill Coordination

Refills timed so the next one is ready when they need it, plus adherence calls and plain-language teaching on how to take it.

  • Refill coordination and timing
  • Adherence calls and plain-language education
  • Adherence gaps flagged to the care team
  • Findings reported monthly
Learn more

Prescription Refill Coordination

Refills timed against days-supply so the next fill is ready before the last one runs out — with the pharmacy, the prescriber and the payer aligned in advance. The patient never stands at a counter waiting on a fax.

Replaces: the refill that never happened. Ask about this →

Specialty Pharmacy Patient Support Services

Specialty medications come with more steps than any patient should manage alone: enrollment forms, benefits investigations, site-of-care decisions, cold-chain deliveries. We run those steps as one process, with a direct line to the prescriber to keep coverage moving.

  • Specialty pharmacy enrollment and onboarding
  • Coordination with hub and specialty pharmacy programs
  • Delivery confirmation — we call until it is in their hands
  • Adherence follow-up specific to specialty regimens
Learn more

Replaces: patients navigating specialty pharmacy alone. Ask about this →

Who uses this division

  • Oncology
  • Rheumatology
  • Neurology
  • Dermatology
  • Gastroenterology
  • Endocrinology
  • Specialty practices · Oncology · Rheumatology · Neurology

Guaranteed in the contract

The numbers this division answers for

  • FIRST-CONTACT RESOLUTION

    0%

    Industry 68%95% guaranteed

  • PATIENT FOLLOW-THROUGH

    0%

    No industry benchmark100% guaranteed

  • PATIENT SATISFACTION

    0/5

    Industry 3.8/54.9/5 guaranteed

FROM SIGNATURE TO RESULTS

How we go on call for your practice

  1. 01

    Free consultation

    We go through your call volume, your current numbers, your languages and your hours. No cost and no commitment.

  2. 02

    Transition

    We coordinate with your current team, your systems and your insurers. Someone calling on the day of the switch hears the same warm voice they always did.

  3. 03

    Reporting

    Daily oversight, and a monthly report showing exactly how many patients were reached.

FAQ

Before you ask — answered

How long does prior authorization take?

It varies by payer and medication — from 24 hours to several weeks. What changes with us is that someone chases it every day until it is approved, and you can see exactly where each one stands.

What is a benefits investigation?

A check of the patient’s coverage, formulary status and out-of-pocket cost before they arrive at the pharmacy, so there are no surprises at the counter and the prescriber can adjust if needed.

What happens if an authorization is denied?

We prepare and submit the appeal, keep a direct line to the prescriber for any clinical documentation needed, and follow it through — while screening the patient for assistance programs in parallel.

What is the difference between medication and procedure prior authorizations?

Procedure and imaging authorizations are tied to scheduling, so they run in our Shared Services Division next to insurance verification. Medication prior authorizations follow the prescription — pharmacy, payer, prescriber — and run here, chased daily until approval. Practices that contract both never have to work out which is which: we route it.

How much does prior authorization outsourcing cost?

It depends on your volume and medication mix — specialty-heavy practices run more appeals, for example. The free consultation returns a specific number, set against what stalled authorizations currently cost you in staff hours and delayed treatment starts.

Do you work with our EHR and pharmacy systems?

Yes. We work inside the systems you already use — EHR, ePA portals and payer platforms — and document every status where your team already looks. No new software to adopt.

Do you handle specialty pharmacy onboarding?

Yes. Specialty onboarding, coordination with hub and specialty pharmacy programs, delivery confirmation and adherence follow-up are their own service line inside the division.

Can the prescriber talk to a person about a stuck authorization?

Always. Every account keeps a direct line between our specialists and the prescribing team, because most stalled authorizations move the same day someone supplies the missing clinical detail. That line is the reason our approvals do not sit in queues.

NEXT STEP

Put this division on call for your practice.

Somewhere in your waiting room there is a patient who found you because the phone was answered. Let’s talk about how to make that every patient. Free, personalized, and no commitment.

✓ A member of our team replies directly, usually the same business day.

Free · Personalized · A member of our team replies directly, usually the same business day.

Prior Authorization Services | Pharmacy Support | Emergent Healthcare