The primary goal of EmpiRx Health’s pharmacist-led PBM model is to ensure that all members receive the most clinically appropriate, cost-effective medications to optimize their health outcomes. To assure the appropriateness of drug therapies and provide a first-rate member experience, EmpiRx Health’s clinical pharmacists conduct extensive medication reviews, involving close collaboration with prescribing physicians. EmpiRx Health’s new Clinical Review Messaging solution ensures that members are kept informed of the progress of their clinical review with real-time updates.
With this solution, members receive different notifications as their clinical reviews are in progress. These messages address each step of their clinical review’s status. The notifications include the initial notification that the claim requires clinical review, that the clinical review has not yet been initiated, and that the clinical review is in progress. Members will also receive notification regarding the final status of their clinical review—whether it has been approved, received a partial denial, or a final denial.
Why is this solution right for you and your members?
Our Clinical Review Messaging solution empowers members with real-time insights into their clinical reviews, enhancing transparency and ensuring they are always informed about the process every step of the way. It also provides peace of mind by giving members up-to-date information through denials and appeals, which assures them that EmpiRx Health is working with their clinicians to provide the most clinically appropriate medication therapies. Throughout the clinical review process, member satisfaction is enhanced by assuring members that our clinical pharmacists are collaborating directly with their healthcare providers to ensure the right therapy is prescribed for their specific needs.
For more information on EmpiRx Health’s Clinical Review Messaging solution, please email us at info@empirxhealth.com or call us at 877-361-4338 (select 3).