Electronic Prior Authorization (ePA) for Specialty Pharma

Electronic prior authorization drives more patient conversions by helping specialty healthcare providers complete prior auths faster and more accurately. CareTria automates the entire authorization workflow — from benefit verification and PA requirement identification through form pre-population, submission, and real-time response tracking — for both pharmacy and medical benefits in a single platform.

Prior Authorization is Where Patient Access Breaks Down

For many specialty practices, prior authorization is the point where patient access breaks down. A form submitted with missing information. A fax that never reaches the payer. A status check that reveals an approval expired before the patient could schedule their infusion. Each failure adds days or weeks between the prescribing decision and the patient starting therapy.

CareTria removes those failure points systematically. The moment a benefit investigation confirms a PA is required, the platform pre-populates the authorization form using data already captured during the verification step — eliminating duplicate entry and reducing the manual errors that lead to avoidable denials. Forms are submitted electronically and tracked in real time, with automated alerts for approvals, denials, pending requests, and upcoming expirations.

PA That Works for the Patient, the Provider and Pharma

But CareTria doesn’t stop at submission. Sponsored products in CareTria Provider Connect are eligible for Prior Authorization Active Monitoring (PAAM)Services — a dedicated service layer that provides continuous oversight of every pending authorization throughout its full lifecycle.

Prior Authorization Active Monitoring (PAAM) Services for Sponsored Products:

• PA status tracking and monitoring throughout the full authorization lifecycle
• Proactive payer follow-up on pending or stalled requests
• Identification and resolution of authorization barriers, including missing clinical documentation or incomplete submissions
• Appeals and resubmission support when additional information is required
• Provider office notifications and status updates to maintain visibility into authorization progress
• Escalation management for urgent or time-sensitive therapies
• Reporting and analytics on authorization outcomes, turnaround times, and bottlenecks

For manufacturers, every day saved in the prior authorization process is a day closer to therapy initiation and a stronger gross-to-net outcome. CareTria’s electronic prior authorization and PAAM services are available through CareTria Provider Connect.