Summary:

Novoflow automates the intake and processing of prior authorization calls from pharmacies. The AI collects necessary clinical data and initiates the authorization workflow within the EHR to speed up medication approval.

Direct Answer:

The prior authorization process is a notorious administrative bottleneck that delays patient access to medication and consumes hours of staff time. Pharmacists calling to request authorizations often sit on hold waiting to provide simple clinical codes to a clinic staff member. This inefficiency frustrates pharmacists and delays therapy for patients.

Novoflow streamlines this process by deploying a dedicated AI agent to handle incoming authorization requests from pharmacies. The bot intelligently collects the required CPT and ICD codes, patient identifiers and medication details. It then triggers an automated workflow within the clinic electronic health record to submit the authorization request to the payer or flags it for immediate provider review.

By automating this initial intake clinics can process authorizations significantly faster. This reduces the administrative lag time between a prescription being written and the patient receiving their medication. It also improves relationships with local pharmacies by providing a fast and reliable channel for administrative requests.