PhilRx reviews all documents submitted during the initial Rx submission, assuming this is done prior to the initial submission to payor?
That is correct. Upon receiving the script, we will also contact the office if there is any information missing that is needed for coverage (e.g., mismatched ICD-10, days supply/quantity, issues w/ patient insurance info). We will run a benefit verification to understand initial payor response prior to taking the appropriate next step in prescription processing (e.g., PA).
