A fully branded, end-to-end workflow covering referral intake, automated prior authorization, real-time analytics, and copay claims — all through one unified hub.
All portals branded to manufacturer · Supports Specialty Pharmacy & Buy & Bill Facilities
✦ Optional: Medmonk pops up as designated Hub upon drug selection in EMR
Notified for every new patient with real-time status updates on the provider portal.
Personal welcome call within 4–6 hours of referral receipt.
Electronic and/or manual BI to determine coverage and eligibility.
Real-time SMS for consent. No response: follow-up at 24hr, 48hr, 72hr.
Medmonk auto-generates a Letter of Medical Necessity (LMN) based on the patient's diagnosis (DX) and payor-specific guidelines — no manual drafting required.
A unique link is submitted to the prescriber for digital review and approval, then the PA is electronically submitted to the primary payor.
Patient packet uploaded to provider portal. Data synced to Manufacturer Portal.
PA follow-up initiated for status check or formal appeal with payor.
All workflow data available in the Manufacturer Portal for full real-time visibility across the patient journey.
Timestamps tracked across every touchpoint:
Two parallel claim tracks ensure complete copay coverage for both pharmacy and medical benefit patients.
ACH payments processed and remittance posted directly on the provider portal — closing the full financial loop.
Auto-generated LMN & electronic submission
Single branded entry for all channels
Timestamps across BI, PA & copay
NCPDP pharmacy copay via secondary payor
All portals branded to manufacturer · Supports Specialty Pharmacy & Buy & Bill Facilities