Government Solutions and Services Medicaid and Public Health Solutions Medicaid Pharmacy Management Automated Prior Authorization (PA) Systems Automate and accelerate claims processing For state Medicaid programs, manual call center processes can be time-consuming and costly, often negating savings gained by controlling prescribing practices. Conduent’s Automated Prior Authorization Solutions automate up to 90% of prior authorization (PA) processes. Built on programs’ existing claims processing capabilities, our solutions review member-specific clinical and coverage histories and confirm if prescribed therapies meet current prescribing rules. We verify PAs for regularly prescribed and specialty medications, as well as non-pharmacy services and equipment in real time, ensuring appropriate therapies are dispensed while using fewer resources from your call center – and your budget. How automated prior authorization systems speed processes Enables screening for both pharmacy and non-pharmacy claims Provides real-time decisions at point-of-service Confirms eligibility based on program criteria Provides fast, HIPAA-compliant access to patient medical and prescribing histories Encourages fast adoption via an open library of criteria rules Enhances satisfaction via user-friendly web interface Related Links Smart PA Pharmacy Application SmartPA Medical Application Non Emergency Medical Travel Automated Pharmacy Claims Ready to discover how Conduent Automated Prior Authorization Solutions can automate and accelerate claims processing for your organization? Reach out to an expert now