PA status checks couldn't be done in real-time, putting starts and renewals at risk.

As the patient volume grew, the team struggled to keep up with prior authorization submission, appeals and status checks. Slow visibility into decisions drove average dispense times to around 4 days, putting patients at risk of abandoning therapy before their first fill. To cut time-to-therapy and prevent renewal drop-offs, the SP needed a way to scale operations and close information gaps in near real time.

Asepha's automation reclaims hours of staff time weekly while improving patient experience

Asepha partnered with the pharmacy to implement a PA and BV automation layer integrated directly into their workflow. Beginning with high-volume payors, real-time phone endpoints were set up and rolled out in phases.

Outbound Prior Auth Call Automation

• Dials payers, navigates IVRs, waits on hold, authenticates from case data.
• Captures decision + next steps (submitted/pend/approved/denied/need-info) with structured notes (rep, ref#, timestamp).
• Returns outcomes to PMS/CRM and triggers tasks for missing items (labs, chart notes, prior therapy).

Proactive SMS for Missing Info & Renewals

• Two-way SMS to collect required docs, confirm details, and nudge prescribers/patients.
• PA renewal reminders (and copay/PAP re-enrollment) to prevent avoidable lapses.
• Escalation rules for sensitive or non-responsive cases.

Ops & Governance

• Dashboards: abandonment at PA stage, median time for Rx to PA decision, percentage "need-info" resolved under 72h, 90-day persistence by cohort, renewal capture.
• PHI/consent management, transcripts/audit logs, and pharmacy-specific templates.