Access the ePA Status Dialog and Process an ePA Request

While ePA-enabled users will typically be notified about the status of the active ePA requests via the To-Do List or the Facesheet, you also have the ability to access the ePA Status dialog at any time to view the status of an ePA request or to start processing the ePA information. Use the following steps to access the ePA Status dialog and view and process ePA request information.
 

 

  1. Clicking Chart > Medication Prior Authorization > Check Status. Do note, that if a patient chart is open when accessing the ePA Status dialog, the dialog will display ePA items for that patient only.
     

  2. In the ePA Status dialog, the Worklist tab contains any authorization transactions that require action, while the Workflow Processes tab logs each iteration of a prior authorization transaction. Once ePA-enabled users are notified of an ePA message either via a To-Do List notification or via the patient’s facesheet, they can access the ePA Status dialog to begin processing the prior authorization in the Worklist tab by clicking the Complete PA Form.



     

  3. Once the PA Form has been opened, click the Start button to begin.



     

  4. Depending upon various circumstances and drug being prescribed, there may be a number of iterations in which the user is asked to answer various questions and supply additional information toward the authorization. After the applicable information has been answered, click the Next button.

    NOTE: In addition, you have the ability to Save the progress when working on a prior authorization, as well as the ability to Release the prior authorization. Likewise, throughout the process you also have the ability to send the mediation without the authorization (which will be the patient’s responsibility), or discontinue the medication.



     

  5. After each iteration is completed the user will have the ability to Submit that additional information and await a response.



     

  6. Depending upon various circumstances and drug being prescribed, there may be many iterations of the ePA request. Repeat steps 1 - 5 as needed.
     

  7. Once the process has been completed, the authorization request is either authorized or denied. When authorized, the user will need to Acknowledge that authorization prior to sending the e-prescription.



     

  8. When denied, the user will have the opportunity to either Acknowledge the denied authorization, or Appeal that denied request, by clicking the corresponding button.

    If acknowledging the denied ePA request, the ePA process will be completed, and you can then either prescribe the medication which will fall to the patient's responsibility, or discontinue the medication.

    If appealing the denied ePA request, the status will go back to Pending, and an additional round of  answering questions and providing additional qualifying information will occur. Repeat steps 1 - 7 as needed.
     

  9. When finished, you can close out of the ePA Status dialog and the facesheet will be updated with any applicable information.