One Connected Workflow from eBV to ePA
Value Health connects eBV results with end-to-end electronic prior authorization (ePA) orchestration bringing payer workflows, HCP outreach, hub operations, and patient services CRM into one trackable PA process. Complete requests move electronically where supported. Fax, phone, payer portal, incomplete packets, and ambiguous responses are managed through omnichannel workflows and human-in-the-loop resolution.
Automation moves routine requests. Experienced teams resolve the exceptions.
Activate ePA Directly from the eBV Response
When eBV identifies a PA requirement, Value Health activates the next workflow with:
One benefit check. One connected path to action.
One Orchestration Layer for the Entire PA Lifecycle
Discover
Identify PA requirements, step therapy rules, payer criteria, and existing authorizations.
Prepare
Populate required fields using existing CRM data and prepare the appropriate form from 500+ preconfigured PA forms covering top payers.
Complete
Route missing clinical information, documents, and attestation requests to HCPs through web forms, fax, email, or phone.
Track and Act
Monitor status every eight hours and return approvals, denials, authorization details, and next actions directly to the CRM.
Submit
Submit electronically where available, with support for fax, phone, and payer portal workflows.
One Orchestration Layer for the Entire PA Lifecycle
Discover
Identify PA requirements, step therapy rules, payer criteria, and existing authorizations.
Prepare
Populate required fields using existing CRM data and prepare the appropriate form from 500+ preconfigured PA forms covering top payers.
Complete
Route missing clinical information, documents, and attestation requests to HCPs through web forms, fax, email, or phone.
Track and Act
Monitor status every eight hours and return approvals, denials, authorization details, and next actions directly to the CRM.
Submit
Submit electronically where available, with support for fax, phone, and payer portal workflows.
From ePA Status to Next-Best Action
| PA Outcome | Structured Output | Next Action |
|---|---|---|
| PA Required | Criteria, documents and submission route | Initiate PA workflow |
| Information Missing | Missing fields and required HCP action | Route for completion |
| Submitted | Confirmation and payer reference | Begin monitoring |
| Pending | Current status and elapsed timeline | Escalate when required |
| Decision Returned | Approval or denial, PA number, dates and reason | Update CRM and route the case |
Keep Every PA Moving Toward a Decision
Connect eBV, PA preparation, submission, status monitoring, exception handling, and decision routing in one integrated workflow.