Summary: Help Process Insurance Claims and Payments

Handling insurance claims and processing insurance are important functions within the pharmacy. There are roles dedicated to dealing with insurance claims, payer policy, and prior authorization. Dr. Amanda DeMarzo, PharmD, MBA, PACS is the Associate Director, Patient Access with the National Board of Prior Authorization Specialists. She encourages enhancing patient access through education and certification. […]

Pharmacy’s Role in the Prior Authorization Process

Prior authorization processes continue to grow year after year. With an ever-growing need to decrease costs, many health plans are increasing the number of prior authorizations required for both medical and prescription benefits. Prior authorizations are utilization processes used by insurance companies to determine coverage for healthcare. What are the steps of prior authorization? There […]