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Change Request Prior Authorization

Version 20.0

Overview

Change requests are sent to the practice from the pharmacy. In this article we will discuss a Change Request for a Prior Authorization. The Change Request type of Prior Authorization will be sent when the pharmacy needs a Prior Authorization Number. For instruction on enabling Change Request in OP, click here.

Accept A Prior Authorization Change Request

  1. Navigate to the Refill/Change Requests tab: Main Navigation Panel > e-Prescribe > Refill/Change Requests tab.
  2. Double-click on the medication request for a Prior Authorization or highlight the medication and click the Accept/Deny button.
  3. If the patient has medication allergies a Warning box will display, click the OK button.
  4. Enter the Prior Authorization number in the Prior Auth #: field.

  1. Click the Accept button.
When you accept a Prior Authorization Change Request, the action is saved in the Audit Log. With any Surescripts message either inbound or outbound there is an opportunity for an error in the actual transmission of the message. Messages that “Error” are no longer valid and therefore the Pharmacy may need to be called or a new prescription written.

Deny a Prior Authorization Change Request

  1. Navigate to the Refill/Change Requests tab: Main Navigation Panel > e-Prescribe > Refill/Change Requests tab.
  2. Double-click on the medication request for a Prior Authorization or highlight the medication and click the Accept/Deny button.
  3. If the patient has medication allergies a Warning box will display, click the OK button.
  4. Click the drop-down and select a Denial reason.
  5. Click the Deny button. 
  6. All Prior Authorization denials will appear in the Refills/Changes Denied tab.