Prescription prior authorization is a process required by some health insurance plans where healthcare providers must obtain approval from the insurance company before certain medications can be prescribed to patients. This approval ensures that the medication is medically necessary and appropriate based on the patient’s condition and the insurer’s coverage policies.
How to Prepare Your Prior Authorization Workflows for CMS-0057-F and Beyond
Our practical checklist and workflow mapping guide helps patient access leaders assess and organize their prior authorization processes before CMS-0057-F’s FHIR-based API requirements take effect in 2027.
