More capacity for the work behind every prescription
AuthorizeRx helps long term care pharmacies organize and work the administrative queues that compete for their team’s attention. We provide remote support for defined workflows, with procedures, permissions, and escalation rules built around your operation.
Start with the bottleneck that is slowing your team down. Your pharmacy keeps responsibility for licensed functions, clinical decisions, and final review.
Request a workflow assessmentSee how it works
Give each queue an owner and a clear next step
An incomplete admission, unresolved insurance rejection, or unanswered refill request can pass through several hands without moving forward. A defined support workflow gives each item an owner, records what has been done, and identifies when your pharmacy needs to act.
We work with you to decide which tasks can be handled remotely, which require pharmacy review, and how urgent or unclear items should be routed.
Workflows we can scope with your pharmacy
Admissions and profile updates
Using the information your pharmacy receives, the team can organize intake documents and support permitted demographic, insurance, and facility updates. Missing or conflicting information is flagged for the designated pharmacy contact. Medication reconciliation and clinical review stay with your licensed team.
FrameworkLTC data entry support
Support can include approved entry and administrative coding tasks within your FrameworkLTC configuration. Your source documents, procedures, access rights, and review steps define the work. Unclear orders, directions, or data conflicts are escalated rather than interpreted independently.
Refill and cycle queues
The team can review assigned refill worklists, track request status, and follow up on pending administrative items. Refill-too-soon rejections and other exceptions are documented for action under your procedures. The pharmacy controls authorization, clinical appropriateness, and dispensing decisions.
Insurance eligibility and rejection follow-up
Support can include checking available coverage information, recording rejection details, and following approved payer follow-up steps. Coverage conflicts, unresolved exceptions, and decisions affecting treatment or billing are routed to your designated staff.
Prior authorization tracking
Keep a visible record of requested information, submissions, payer status, and pending responses. The team can coordinate administrative follow-up within the agreed scope. Prescribers and licensed staff remain responsible for clinical justification and approval of clinical content.
Fax and document queues
Sort incoming administrative documents, identify their destination, and track missing information using your approved workflow. Items that are incomplete, ambiguous, or require clinical attention are referred to the appropriate pharmacy team member.
Facility and prescriber follow-up
Support routine requests for missing information and status updates using approved scripts and communication channels. Questions about medication changes, clinical urgency, or treatment are escalated to your pharmacy rather than answered by administrative personnel.
Worklist tracking and handoffs
Record completed actions, outstanding requests, aging items, and the person responsible for the next step. A handoff should make it clear what happened and what remains, without making your team reconstruct the history.
Broader pharmacy support for scoped review
The following proposed modules extend the administrative work around your existing queues. Each requires confirmation of staffing, qualifications, approved systems, communication permissions, supervision and escalation before delivery. Select only the tasks your pharmacy can safely assign and review.
Intake and prescription-entry coordination
Organize incoming prescriptions and supporting documents, identify missing administrative information, and perform permitted entry under approved source-document and review procedures. Ambiguous orders, medication directions and clinical questions return to the pharmacist; administrative staff do not independently interpret them.
Refill synchronization and authorized records
Coordinate refill reminders and medication synchronization records with your cycle workflow. Maintain authorized auto-refill records, consent status and exceptions under pharmacy instructions. Track refill-too-soon issues and unresolved requests without independently authorizing refills, changing medication or making dispensing decisions.
Benefits, PA and claim follow-up
Connect eligibility checks, prior authorization status and assigned claim follow-up with clear records of payer responses, missing information and the next owner. Use approved channels and deadlines. Clinical justification and billing approvals remain with authorized personnel; coverage or authorization is not a guarantee of payment.
Patient, prescriber and facility communications
Use approved scripts for administrative calls, missing-information requests, status updates and nonclinical adherence outreach. Record the contact and next step. Concerns about symptoms, medication use, adverse effects, missed doses or clinical urgency go to the pharmacy’s designated licensed team.
Pharmacist-led program administration
Support scheduling, reminders and approved records for pharmacist-led MTM, immunization and counseling services. Clinical medication reviews, therapeutic optimization, MTM assessments, eligibility decisions and counseling remain with appropriately authorized pharmacists or clinicians. Administrative coordination does not establish clinical competence or billability.
Inventory and purchase-order preparation
Prepare inventory alerts, shortage or discrepancy worklists and purchase-order documentation for pharmacist approval. Maintain approved order records and route exceptions to the designated reviewer. This scope does not authorize independent purchasing, product substitution, dispensing or inventory disposition.
Delivery reconciliation and order records
Compare authorized order and delivery records, document missing acknowledgments or discrepancies, and coordinate administrative follow-up with facilities and delivery contacts. Escalate missing medication, handling concerns and urgent service issues under pharmacy protocols; do not resolve clinical or dispensing questions independently.
PBM audit preparation and internal completeness checks
Assemble requested documents, track response deadlines and prepare records for authorized review. Scoped internal checks may compare claims, inventory and operational records for missing or inconsistent information. Qualified reviewers decide corrections and approve audit responses. Do not alter records to conceal discrepancies or promise audit outcomes.
Clinical medication decisions, dispensing, counseling, final verification and regulated responsibilities remain with your licensed pharmacy team. The engagement defines permitted actions, secure data handling, any required business associate agreement, coverage and pricing. No universal system integration, guaranteed savings or approval outcome is implied.
A practical workflow from intake to closure
- Receive an item through the agreed work queue.
- Check the source information and assign ownership.
- Complete the permitted entry or administrative follow-up.
- Escalate missing information, exceptions, and clinical questions.
- Route the item for the pharmacy’s required review or decision.
- Record the outcome or the next owner and follow-up date.
Built around your procedures and your licensed team
The scope is agreed before production work begins. It defines permitted tasks, required credentials, access, coverage, quality checks, and escalation. FrameworkLTC workflows vary by client configuration, and a reference to the platform does not mean a software integration or vendor partnership.
Start with one queue
Tell us which part of your operation needs more consistent follow-through. We can discuss the work, the volume, and the review steps needed to support it.