Solutions

Built around the work that blocks the counter.

Pick the workflow that hurts most today. Every solution gives the blocker an owner, a status, and a clear next action.

Workflow 01

Rejected claims keep repeating.

Outcome: Structured claim cases with next actions.

Each rejection becomes a case with reject code, plan, suggested next step, and an owner — instead of a sticky note on the monitor.

  • Reject 70
  • Alt NDC
  • Pharmacist review
Claim rejection slip with payer reject code and next action

Workflow 02

Prior auths disappear into follow-up loops.

Outcome: Tracked status, owners, and patient updates.

Every PA has a status, an SLA timer, and a place for the patient and prescriber to be looped in without losing the thread.

  • PA requested
  • Waiting prescriber
  • Approved
Prior authorization timeline from request to approval

Workflow 03

Patients keep calling for status.

Outcome: Clear update drafts and follow-up reminders.

Two-way SMS templates and consistent status language clear up “is it ready yet?” without tying up the phone line.

  • Ready
  • Waiting prescriber
  • PA submitted
Patient update on phone — pickup, prescriber wait, prior auth status

Workflow 04

Prescriber offices need clean requests.

Outcome: Editable, professional draft messages.

Refill, PA, and clarification messages are drafted with the right context attached and reviewed by your team before sending.

  • Draft only
  • Pharmacist review
Rx · 842101h

Aisha N.

Lisinopril 20mg

No refills

Owner · Tech · Maya

Rx · 842182h

Robert P.

Atorvastatin 40mg

Sent to Dr. Lee

Owner · PA · Jordan

Workflow 05

Inventory issues become pickup delays.

Outcome: Shortage watch tied to expected refill demand.

Flag short supply and backorders against the queue so patients hear about delays before they walk in.

  • Backorder
  • ETA 3 days
Inventory shelf tag showing a backordered medication

Workflow 06

Refill requests lack ownership.

Outcome: Queue tickets with owner, status, and next action.

Every blocker gets an owner, an age timer, and a clear next step so nothing sits in the queue without a name on it.

  • Owner assigned
  • 2h in queue
Rx · 8422322m

Linda S.

Levothyroxine 50mcg

Triage

Owner · Tech · Sam

Rx · 842294m

Eli M.

Sertraline 50mg

Owned

Owner · Counter · Riley