In-workflow electronic prior authorization

Powered for better patient outcomes

CoverMyMeds pioneered ePA in 2008 and has continually innovated in the space. Now we’re taking it further with tools that accelerate prior authorization for improved patient outcomes. ePA consolidates requirement checks, submission, status updates and documentation into one unified process — reducing delays, cutting manual work, and helping teams focus on patients. This is automation and AI-enabled connectivity in action.

Smart requirement checks
Automatically validate procedure code and payer requirements directly inside your EHR workflow, reducing errors and helping prevent avoidable denials.
Electronic submission
Auto-complete and submit PA requests with automation that initiates submissions via APIs and AI-based technology for fast throughput and quick response.
Status monitoring
Receive real-time notifications, status updates, and recommended follow-up actions to keep authorizations moving.
Connected workflows
ePA connects with Real-Time Prescription Benefit (RTPB) and Enrollment Services in seamless workflows so prescribers can move from cost clarity to coverage steps without switching between systems.
Documentation to chart
Automatically save coverage eligibility, out-of-pocket cost estimates, and authorization documents into the EMR/PM, eliminating manual uploads.
Operational visibility
Monitor payer turnaround times, denial rates, provider denials, and team productivity to identify improvements.

ePA automation at the speed of AI

Explore how CoverMyMeds ePA automation simplifies and accelerates requirement checks, submission, status monitoring and analytics across your workflow.

Medical professional typing at a mobile computer station

Fast, simple ePA automation

Instantly validate payer rules and procedure code requirements with automated logic that reduces denials and improves first-time accuracy.

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Submission made seamless

Automatically initiate prior authorization requests by using FHIR-compliant APIs and AI-based technology to complete required PA fields and questions — helping to move requests forward without navigating submissions manually.

Two providers sitting at a computer in a medical office.

Status, surfaced instantly

Receive real-time status checks and recommended next actions so teams can follow up quickly and avoid delays in determinations.

A provider speaking with a patient at a computer

Insights that drive progress

Review payer turnaround time, denial rates, provider denials, and staff productivity to uncover trends and strengthen operations.