View Electronic Prior Authorization Note

NextGen® Enterprise EHR Help

View the Downloaded ePA Documents Within the Medication Grid

Before you begin You can view and refer to the Electronic Prior Authorization (ePA) attachments from the patient's pharmacy benefit manager (PBM) within the medication grid in addition to the patient's encounters. Note: You must add the Prior Auth Document column from Medications module, by selecting Grid Preferences > Set Columns to Display > Medications View Preferences > Available Columns > Prior Auth Document to view the documents. Open NextGen® Enterprise EHR, and select a patient from the Patient Lookup window. Open Medications module. Select a patient with previous ePA request. Note: You can also open the downloaded document from the Encounter History tab. Select the medication submitted for ePA in the medication grid. Scroll to the Prior Auth Document column. Hover over the paper clip icon to check if an ePA Document tool tip is available. Right-click the selected medication in the medication grid. Select View ePA Document from the menu to view the associated ePA document. The

NextGen® Enterprise EHR Help

View the eRx Status for a Medication with a Prior Authorization Request

If you sent an electronic prior authorization request through the Initiate ePA link, you can track the eRx status of the medication. From the View menu, select eRx Status. The eRx Status window opens. eRx Status For Message Type, select PA Initiation Request. Enter any remaining criteria as needed, and then select Search. Parent topic: Managing Electronic Prior Authorizations

NextGen® Enterprise EHR Help

Accept and Download ePA Documents in the ePA Accelerator

Before you begin You must be enrolled for Electronic Prior Authorization (ePA) in System Administrator. When a pharmacy benefit manager (PBM) sends a document within the ePA accelerator, you can accept and download the attachment and view it within the patient's encounter in NextGen® Enterprise EHR. Open Medications module. Select a patient with previous ePA request. Select Manage ePA. The Electronic Prior Authorization window opens. Select the Prior Auth Denied task. The Electronic Prior Authorization window opens. Select ACCEPT AND DOWNLOAD. Note: You cannot download a patient's ePA document from View > Manage ePA . You can download a patient's ePA document from Inbox > Clinical Tasking and from Manage ePA in the Medications module. You can view the downloaded document in the encounter. Select the ePA downloaded document. The ePA document opens in a new tab. If you want to download a document again, an alert message appears stating that the document is already downloaded. Parent topi

NextGen® Enterprise EHR Help

View Prior Authorization Task History

Open the Electronic Prior Authorization window by doing one of the following: In the Medications module, select . On the View menu, select Manage ePA. Select the Task History tab. Electronic Prior Authorization Parent topic: Managing Electronic Prior Authorizations

NextGen® Enterprise EHR Help

Upload Electronic Prior Authorization Documents Within the ePA Accelerator

Before you begin You must be enrolled for Electronic Prior Authorization (ePA) in System Administrator. Patient must have Rx eligibility. Patient must have an active pharmacy benefit manager(PBM) coverage. Note: The UPLOAD FILE is available only if the PBM requests for additional documents. You can send attachments electronically to the patient's PBM by selecting Manage ePA in the Medication module. You can send additional details to support a patient's prior authorization request only as PDF files. You can upload multiple PDF files for PARequest and PAAppealRequest messages through the ePA Accelerator. If you send multiple attachments, they are combined into one file, and arranged in the order of the files sent. The combined file has the same name as the first file of the attachment. CAUTION: The total file size must not exceed 18 MB. If the combined file size is larger than 18 MB, you cannot attach them and an exception is displayed. Open Medications module. Run the Rx eligibility fo

NextGen® Enterprise EHR Help

Initiate Electronic Prior Authorization Request

Before you begin The Initiate ePA link is available when you select a medication and the following criteria are met: You have permissions for the Initiate ePA security right. You have ePA enrollment for retail service level. Medication is not prescribed elsewhere for the patient. No one has sent previous prior authorization requests for the medication. Patient is not on any user’s exclusion or inclusion list in System Administrator. Patient has active Pharmacy Benefit Managers (PBM) coverage. You can initiate electronic prior authorization (ePA) request in the Medications module by selecting the Initiate ePA link. Open NextGen® Enterprise EHR. Select a patient from the Patient Lookup window. Open the Medications module. Search and select a medication for the patient. The Prior Auth Status column on the Medications module displays PA Required if the medication requires prior authorization. Note: If multiple medications on the encounter require prior authorization, you must initiate ePA

View Electronic Prior Authorization Note

Recommendations

View the Downloaded ePA Documents Within the Medication Grid

View the eRx Status for a Medication with a Prior Authorization Request

Accept and Download ePA Documents in the ePA Accelerator

View Prior Authorization Task History

Upload Electronic Prior Authorization Documents Within the ePA Accelerator

Initiate Electronic Prior Authorization Request

View the Downloaded ePA Documents Within the Medication Grid

View the eRx Status for a Medication with a Prior Authorization Request

Accept and Download ePA Documents in the ePA Accelerator

View Prior Authorization Task History

Upload Electronic Prior Authorization Documents Within the ePA Accelerator

Initiate Electronic Prior Authorization Request