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Prior Authorization Testing
- Prior Authorization test with Anthem; "unsolicited model"
- Prescriber sees drug-specific questions when drug is picked
- Celebrex, Mobic, Lyrica, Provigil, Viagra, Nexium, Crestor, Vytorin
- Answer questions, submit and receive response via OnCallData™
- PLUS parallel fax-based workflow
- All UHMP non-pediatric practices, no training!
- Live 12/10/06
- 30 transactions over 4 weeks
- 17 prescribers, 13 practices (25/30 by surrogates)
- Mean turnaround time for authorizations: 87 min
- Main glitch: 12/30 were "repeats"
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