CareTria Provider Connect
Navigate the complexities of medical & pharmacy benefits, ensure patients receive timely & appropriate care, and maintain compliance with payer requests with CareTria Provider Connect.
Instant results
Simplify patient access at the point of care
CareTria Provider Connect helps practices save valuable time by delivering fast, reliable results. With real‑time benefit investigations and streamlined workflows, staff spend less time tracking down coverage details and more time moving patients forward. Quick, accurate returns reduce delays, cut back on follow‑ups, and help practices keep schedules on track—so patients get to therapy faster and teams stay efficient.
- Industry-leading speed-to-therapy with rapid patient onboarding
- Plan-level buy and bill confirmation is delivered at the j-code level for each benefit investigation.
- Connection with all payers across all lines of business.
- Confirmed prior authorization/pre-determination requirements specific to the treatment selected on each benefit inquiry.
Results in less than 60 seconds
86%
Benefit Investigations Returned Instantly
95%
Prior Authorization Approval Rate
15K
Specialty Healthcare Providers
MEDICAL BENEFITS
Navigate the complexities of medical & pharmacy benefits
CareTria Provider Connect integrates with more than 1,200 payers, instantly returning coverage details, patient costs, prior authorization requirements, and payer-specific limitations. With automated pharmacy benefit checks, dual eligibility support, and direct payer integrations, practices can navigate even the most complex benefit landscapes without leaving the platform.
PATIENT ACCESS
Ensure patients receive timely & appropriate care
COMPLIANCE
Maintain compliance with payer requests
CareTria Provider Connect simplifies prior authorization with guided workflows that identify payer requirements, pre‑populate forms, and submit documentation automatically—driving a 94% approval rate and average turnaround under 72 hours. Ongoing monitoring and automated appeals help practices stay compliant and avoid authorization gaps.
Tailored Solutions for Your Role in Patient Care
Real-Time Benefit Investigation
Our application allows HCP’s the ability to submit requests and receive responses faster, resulting in quicker starts and stronger treatment adherence.
Electronic Prior Authorization
Achieve quicker approvals, reducing delays in patient treatment and improving overall efficiency.
Manufacturers Savings Program
Streamline patient enrollment tracking and connect patients to the savings programs they need to start and stay on treatment.
Payer Coverage
Share formulary information in real-time with providers during the treatment decision-making process.
Benefits
Provider Connect is no cost for healthcare practices
Medical & pharmacy benefits - in one platform
CareTria Provider Connect is the only software on the market that can verify benefits for specialty medications that fall under both medical and pharmacy benefits.
One portal for all patient access needs
Streamline your in-office workflow in a single platform with dedicated insights into the patient journey – from benefit investigation to prior authorization to co-pay enrollment.
Speed of return
Sponsored products full benefit investigations are returned instantly with the information the patient and the practice need to make informed treatment decisions. Prior authorizations yield an impressive return rate to eliminate any blockers to therapy.
