How it works
We do the legwork between the pharmacy, the prescriber and the carrier.
When a prescription needs prior authorization, there are a lot of hand-offs. We own them, so nothing waits on a missing form or an unreturned call.
The process
Five steps from referral to medication.
Every request follows the same path. What changes is how much of it the pharmacy and the prescriber's office have to carry. With Approvio, it's very little.
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Step 1
A prescription needs approval
The pharmacy learns that a patient's insurance requires prior authorization before it will cover a medication, and refers the request to us.
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Step 2
We gather what the carrier needs
We work with the prescriber's office to collect the clinical information and documentation that the patient's insurance carrier asks for.
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Step 3
We submit and follow up
We submit the request to the carrier and stay on it, keeping track of deadlines, answering questions and following up until there's a decision.
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Step 4
Everyone stays informed
The pharmacy and the prescriber's office see where each request stands. Patients who sign up get text updates as their request moves forward.
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Step 5
The patient gets their medication
Once the carrier approves, the pharmacy fills the prescription. If a request is denied, we let the prescriber's office know right away so they can decide on next steps.
What it means for you
Built for every side of the prescription.
For pharmacies
- Refer requests instead of chasing them
- See the status of every request in one place
- Know as soon as a medication is approved
For prescribers
- Clear, specific asks for what the carrier needs
- Less time on hold with insurance companies
- Prompt notice of decisions, including denials
For patients
- Optional text updates on your request
- Fewer surprises at the pharmacy counter
- Your information is never sold or used for marketing
Text message updates
Updates by text, only when you ask for them.
We send text messages about prior authorization requests, never marketing. Nobody receives texts from us without opting in first.
- Message frequency varies with the progress of each request.
- Reply STOP at any time to opt out, or HELP for help.
- Message and data rates may apply.
Read the full SMS terms and our privacy policy.
Patients
Your pharmacy may invite you to sign up. Enter your name and mobile number on our sign-up page and check the box to agree to receive texts about your request.
Sign up for text updatesPharmacy and prescriber staff
Staff at the pharmacies and practices we work with can choose to receive text notifications about requests they're handling by turning them on in their Approvio account.
Let's get your patients' medications approved.
Pharmacies and prescriber practices: tell us about your workflow and we'll show you how Approvio can help.