EVERSANA ACTICs eAccess
Faster Benefit Verification and Prior Authorization
Verifying insurance eligibility should be simple, instantaneous, and straightforward. Currently, electronic benefit verification (eBV) tools and prior authorization (ePA) solutions fail to meet the needs of patients and providers. In many cases, only 60% of results are accurate, causing delays to an already lengthy treatment journey.
EVERSANA launched ACTICS® eAccess, a proprietary eBV and ePA platform that gives patient service teams nearly immediate insights from both pharmacy and major medical plans. With 90% accuracy, ACTICS eAccess leverages EVERSANA’s digital connectivity to more than 1,400 payers across the U.S.
Through ACTICS eAccess’ insight into real-time insurance benefits, patients and providers can determine out-of-pocket costs for medication, surgical procedures, nursing support, and more. Next-generation technology also expedites the PA submission process, delivering a much higher percentage of accepted submissions by insurance providers.
By leveraging digital connections to 1,400 payers rather than algorithms, highly accurate coverage can be confirmed with as few as five simple data points. The eBV tool offers multiple workflow integrations within:
- Existing Hubs
- Patient or HCP Websites as a Self-Service Tool
- HCP Portals
As a result, ACTICS eAccess delivers price transparency, reduces delays in therapy initiation, and affords real-world efficiency to patients and providers.
ACTICS eAccess provides a better experience for patients and HCPs. Prior to a formal introduction into the market, the tool already received strong interest from pharmaceutical brands. ACTICS eAccess is solving unmet needs in an industry that will soon see an influx of specialty therapies (e.g., rare disease and oncology) that will be covered by both major medical and pharmacy benefits.
