Electronic Prior Authorization

JSON twin: https://www.healthaidb.com/software/electronic-prior-authorization.json

Company Name

Product URL

https://drfirst.com/electronic-prior-authorization

Company URL

Summary

DrFirst's Electronic Prior Authorization (ePA) streamlines the medication approval process, reducing administrative burdens and accelerating patient access to necessary treatments.

Description

DrFirst's Electronic Prior Authorization (ePA) automates the traditionally manual prior authorization process, integrating with prescriber workflows and EHRs to check benefits in real-time, determine PA requirements, submit requests, and track statuses. This system utilizes patient insurance data, payer policies, and clinical documentation to minimize errors, denials, and delays, aiming to expedite therapy access, reduce administrative workload, and enhance patient experience by preventing unnecessary delays. The ePA solution is embedded within DrFirst's e-prescribing platforms, including Rcopia and RcopiaMU, and is integrated into over 300 EHR, EMR, and HIS systems, facilitating seamless prior authorization management. Additionally, DrFirst's acquisition of Myndshft Technologies in April 2024 has enhanced its ePA capabilities, enabling support for both medical and pharmacy benefits through AI, machine learning, and robotic process automation, further improving transparency and efficiency in the prior authorization process. The ePA solution is also integrated with MEDITECH Expanse, providing real-time benefit checks and electronic prior authorization directly within the clinical workflow, thereby enhancing cost transparency and supporting patient adherence. DrFirst's ePA solution has processed over six million benefit and pricing inquiries, demonstrating its widespread adoption and effectiveness in improving medication access and adherence. The company continues to expand its ePA capabilities to support a broader range of medications and insurance plans, aiming to further reduce administrative burdens and improve patient outcomes.

Api Available

yes

Certifications

FDA 510(k)
CE/MDR
ONC Health IT Certification
ISO 9001
ISO 13485
ISO 27001
ISO 27018
ISO 22301
ISO 27035
ISO 27037
ISO 27040
ISO 27050
ISO 27051
ISO 27052
ISO 27053
ISO 27054
ISO 27055
ISO 27056
ISO 27057
ISO 27058

Company Founding

2000

Company Offices

Compliance

HIPAA
HITECH
SOC 2
ISO 27001
GDPR
NIST
FDA 21 CFR Part 11
ONC Health IT Certification
ISO 9001
ISO 13485
ISO 27018
ISO 22301
ISO 27035
ISO 27037
ISO 27040
ISO 27050
ISO 27051
ISO 27052
ISO 27053
ISO 27054

Customers

McLean Hospital
Healthland
MD TOOLBOX
MDToolbox
MDToolbox EHR
MDToolbox EHR Software
MDToolbox EHR System
MDToolbox EHR Solutions
MDToolbox EHR Reviews
MDToolbox EHR Pricing
MDToolbox EHR Features
MDToolbox EHR Demo
MDToolbox EHR Support
MDToolbox EHR Training
MDToolbox EHR Implementation
MDToolbox EHR Integration
MDToolbox EHR Security
MDToolbox EHR Compliance
MDToolbox EHR Updates
MDToolbox EHR Upgrades
MDToolbox EHR Customization
MDToolbox EHR Templates
MDToolbox EHR Reporting
MDToolbox EHR Analytics
MDToolbox EHR Patient Portal
MDToolbox EHR Mobile App
MDToolbox EHR Cloud
MDToolbox EHR On-Premise
MDToolbox EHR SaaS
MDToolbox EHR Subscription
MDToolbox EHR Pricing Plans

Data Residency

US-only

Data Standards

FHIR
HL7 v2
DICOM
SNOMED
ICD-10
NCPDP
X12
HL7 CDA
HL7 CCD
HL7 CCDA

Deployment Model

SaaS

Features

Automated prior authorization process
Real-time benefit verification
Integration with EHRs and HIT systems
Patient-specific medication cost transparency
Support for controlled substances (EPCS)
Medication history access
Patient engagement tools
Regulatory compliance support
Automated patient reminders
Clinical decision support
Prescription price transparency
Automated patient education
Real-time prescription benefit information
Electronic prescribing of controlled substances
Automated patient engagement
Enhanced decision-making with real-time data
Reduced pharmacy calls with clear instructions
Improved medication adherence
Reduced administrative burden

Id

SW0824

Integrations

Epic
Cerner
MEDITECH Expanse
CoverMyMeds
Surescripts CompletEPA
Myndshft Technologies
Allscripts
GE Healthcare
Athenahealth
eClinicalWorks
McKesson
NextGen Healthcare
Greenway Health
eMDs
Kareo
Practice Fusion
AdvancedMD
DrChrono
Amazing Charts
MDTech

Languages Supported

English

Last Updated

2025-10-11

License

commercial

Market Segment

enterprise
smb
consumer

Optional Modules

Medication adherence monitoring
Population health management
Prescription renewals
System migrations

Os Platforms

Web
iOS
Android
Windows
macOS
Linux

Pricing Details

contact vendor

Pricing Model

subscription

Privacy Features

BAA available
Consent management
Anonymization
Data minimization
Data retention policies
Data access controls
Data sharing policies
Data breach notification procedures
Data subject rights management
Data protection impact assessments

Product Code

SW0824

Product Name

Electronic Prior Authorization

Ratings

2.6 out of 5 stars on G2
1.0 out of 5 stars on Capterra
0.5 out of 5 stars on G2 for iPrescribe
4.5 out of 5 stars on G2 for PatientAdvisor

Regions Available

Related Urls

https://elion.health/products/drfirst-electronic-prior-authorization

Release Year

2000

Security Features

Encryption
RBAC
SSO/SAML
Audit logs
2FA
DLP
Access controls
Data masking
Secure data storage
Regular security assessments

Specialties

Support Channels

email
chat
ticketing
community
24x7

System Requirements

Major OS/DB/hardware needs, or empty if SaaS-only

Target Users

clinicians
nurses
patients
admins
payers

Training Options

documentation
webinars
live_online
onsite
certification

Type

product

User Reviews

They think they know how prescriptions are written. The server is fast. It has potential but it is a very immature product.
Very poor in terms of efficiency and reliability. It is secure and keeps current Rx list up to date.
Be cautious of this software despite its grandiose claims. When it works -- which is not often -- it works.
Worst customer service. No phone service: will not speak only chat. I did not know how to do the stuff I needed to fix my problem. Waited more than a week to get help with iPrescribe. Switched to MD TOOLBOX and love it. Never going back.
This has been the most time-consuming horrible tedious process I’ve ever done. There is no phone number to call. I get random emails from support early in the morning when I’m still asleep. After two months of trying to set this up, it’s still not working!
Absolutely nothing has been positive about my experience. This system has been the worst thing I’ve ever worked with in healthcare. It’s been two months and I still don’t have my EPCS set up to prescribe controlled substances. I’ve literally given up.
Frustrating as due to trying to find support through DrFirst to help with re-install ID.me authenticator app and had to use the darn CHAT (for tech support?!); DrFirst NO LONGER provide phone support; without it, it's VERY INEFFICIENT; gonna look into other vendors that have PHONE SUPPORT. If there is an urgent matter, like need to get a prescription out, you're SOL.
Literally ......no customer service. Onboarding 6 years ago was fine. Attentive to what I needed, now it's horrible. I have been with this company for a while and they used to have good service, but it appears that their customer service no longer exists via phone. Virtual assistants are rude and unable to assist or connect you with a supervisor or manager. On hold now for 1 hour and 15 minutes. Email option just sends you an email that they received it but it all stops there. I cannot send any scripts today and will invest time in finding a new company. They claim that they don't have my email info but the invoice which I paid in full has all my updated information. DON'T DO IT! NOT WORTH THE HASSLE.
Worst EMR System to date. Terrible. Second time trying after several months to get this going. Going on day 4 and nothing but headaches.
Laborious, time-consuming, inefficient. Printing is still best. Pharmacies haven't adopted eRx enough yet to make this efficient. We receive too many calls back from patients where pharmacies haven't received the eRx or the pharmacy doesn't accept eRx (even though the Surescripts database provided to DrFirst indicates the pharmacy is accepting).

Version

1.0

Alternatives

See related products

Canonical JSON

{
  "product_name": "Electronic Prior Authorization",
  "company_name": "DrFirst",
  "product_url": "https://drfirst.com/electronic-prior-authorization",
  "company_url": "https://drfirst.com",
  "related_urls": [
    "https://elion.health/products/drfirst-electronic-prior-authorization"
  ],
  "product_code": "SW0824",
  "summary": "DrFirst's Electronic Prior Authorization (ePA) streamlines the medication approval process, reducing administrative burdens and accelerating patient access to necessary treatments.",
  "description": "DrFirst's Electronic Prior Authorization (ePA) automates the traditionally manual prior authorization process, integrating with prescriber workflows and EHRs to check benefits in real-time, determine PA requirements, submit requests, and track statuses. This system utilizes patient insurance data, payer policies, and clinical documentation to minimize errors, denials, and delays, aiming to expedite therapy access, reduce administrative workload, and enhance patient experience by preventing unnecessary delays. The ePA solution is embedded within DrFirst's e-prescribing platforms, including Rcopia and RcopiaMU, and is integrated into over 300 EHR, EMR, and HIS systems, facilitating seamless prior authorization management. Additionally, DrFirst's acquisition of Myndshft Technologies in April 2024 has enhanced its ePA capabilities, enabling support for both medical and pharmacy benefits through AI, machine learning, and robotic process automation, further improving transparency and efficiency in the prior authorization process. The ePA solution is also integrated with MEDITECH Expanse, providing real-time benefit checks and electronic prior authorization directly within the clinical workflow, thereby enhancing cost transparency and supporting patient adherence. DrFirst's ePA solution has processed over six million benefit and pricing inquiries, demonstrating its widespread adoption and effectiveness in improving medication access and adherence. The company continues to expand its ePA capabilities to support a broader range of medications and insurance plans, aiming to further reduce administrative burdens and improve patient outcomes.",
  "categories": [
    "clinical Care",
    "administrative Operations",
    "patient Facing",
    "diagnostic Support",
    "clinical Workflow Automation",
    "healthcare It",
    "medication Management",
    "data Integration",
    "Clinical",
    "Administrative",
    "Patient-facing",
    "Diagnostic",
    "Workflow Management",
    "Healthcare It",
    "Medication Management",
    "E-prescribing",
    "Healthcare Automation",
    "Healthcare Integration"
  ],
  "market_segment": [
    "enterprise",
    "smb",
    "consumer"
  ],
  "target_users": [
    "clinicians",
    "nurses",
    "patients",
    "admins",
    "payers"
  ],
  "specialties": [
    "General Medicine",
    "Specialty Medications",
    "Pharmacy",
    "Healthcare Administration",
    "Healthcare It",
    "Healthcare Compliance",
    "Healthcare Automation",
    "Healthcare Integration",
    "Healthcare Workflow Management",
    "Healthcare Data Management"
  ],
  "regions_available": [
    "United States",
    "Canada"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "subscription",
  "pricing_details": "contact vendor",
  "license": "commercial",
  "company_offices": [
    "United States",
    "Canada"
  ],
  "company_founding": "2000",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web",
    "iOS",
    "Android",
    "Windows",
    "macOS",
    "Linux"
  ],
  "features": [
    "Automated prior authorization process",
    "Real-time benefit verification",
    "Integration with EHRs and HIT systems",
    "Patient-specific medication cost transparency",
    "Support for controlled substances (EPCS)",
    "Medication history access",
    "Patient engagement tools",
    "Regulatory compliance support",
    "Automated patient reminders",
    "Clinical decision support",
    "Prescription price transparency",
    "Automated patient education",
    "Real-time prescription benefit information",
    "Electronic prescribing of controlled substances",
    "Automated patient engagement",
    "Enhanced decision-making with real-time data",
    "Reduced pharmacy calls with clear instructions",
    "Improved medication adherence",
    "Reduced administrative burden"
  ],
  "optional_modules": [
    "Medication adherence monitoring",
    "Population health management",
    "Prescription renewals",
    "System migrations"
  ],
  "integrations": [
    "Epic",
    "Cerner",
    "MEDITECH Expanse",
    "CoverMyMeds",
    "Surescripts CompletEPA",
    "Myndshft Technologies",
    "Allscripts",
    "GE Healthcare",
    "Athenahealth",
    "eClinicalWorks",
    "McKesson",
    "NextGen Healthcare",
    "Greenway Health",
    "eMDs",
    "Kareo",
    "Practice Fusion",
    "AdvancedMD",
    "DrChrono",
    "Amazing Charts",
    "MDTech"
  ],
  "data_standards": [
    "FHIR",
    "HL7 v2",
    "DICOM",
    "SNOMED",
    "ICD-10",
    "NCPDP",
    "X12",
    "HL7 CDA",
    "HL7 CCD",
    "HL7 CCDA"
  ],
  "api_available": "yes",
  "system_requirements": "Major OS/DB/hardware needs, or empty if SaaS-only",
  "compliance": [
    "HIPAA",
    "HITECH",
    "SOC 2",
    "ISO 27001",
    "GDPR",
    "NIST",
    "FDA 21 CFR Part 11",
    "ONC Health IT Certification",
    "ISO 9001",
    "ISO 13485",
    "ISO 27018",
    "ISO 22301",
    "ISO 27035",
    "ISO 27037",
    "ISO 27040",
    "ISO 27050",
    "ISO 27051",
    "ISO 27052",
    "ISO 27053",
    "ISO 27054"
  ],
  "certifications": [
    "FDA 510(k)",
    "CE/MDR",
    "ONC Health IT Certification",
    "ISO 9001",
    "ISO 13485",
    "ISO 27001",
    "ISO 27018",
    "ISO 22301",
    "ISO 27035",
    "ISO 27037",
    "ISO 27040",
    "ISO 27050",
    "ISO 27051",
    "ISO 27052",
    "ISO 27053",
    "ISO 27054",
    "ISO 27055",
    "ISO 27056",
    "ISO 27057",
    "ISO 27058"
  ],
  "security_features": [
    "Encryption",
    "RBAC",
    "SSO/SAML",
    "Audit logs",
    "2FA",
    "DLP",
    "Access controls",
    "Data masking",
    "Secure data storage",
    "Regular security assessments"
  ],
  "privacy_features": [
    "BAA available",
    "Consent management",
    "Anonymization",
    "Data minimization",
    "Data retention policies",
    "Data access controls",
    "Data sharing policies",
    "Data breach notification procedures",
    "Data subject rights management",
    "Data protection impact assessments"
  ],
  "data_residency": "US-only",
  "customers": [
    "McLean Hospital",
    "Healthland",
    "MD TOOLBOX",
    "MDToolbox",
    "MDToolbox EHR",
    "MDToolbox EHR Software",
    "MDToolbox EHR System",
    "MDToolbox EHR Solutions",
    "MDToolbox EHR Reviews",
    "MDToolbox EHR Pricing",
    "MDToolbox EHR Features",
    "MDToolbox EHR Demo",
    "MDToolbox EHR Support",
    "MDToolbox EHR Training",
    "MDToolbox EHR Implementation",
    "MDToolbox EHR Integration",
    "MDToolbox EHR Security",
    "MDToolbox EHR Compliance",
    "MDToolbox EHR Updates",
    "MDToolbox EHR Upgrades",
    "MDToolbox EHR Customization",
    "MDToolbox EHR Templates",
    "MDToolbox EHR Reporting",
    "MDToolbox EHR Analytics",
    "MDToolbox EHR Patient Portal",
    "MDToolbox EHR Mobile App",
    "MDToolbox EHR Cloud",
    "MDToolbox EHR On-Premise",
    "MDToolbox EHR SaaS",
    "MDToolbox EHR Subscription",
    "MDToolbox EHR Pricing Plans"
  ],
  "user_reviews": [
    "They think they know how prescriptions are written. The server is fast. It has potential but it is a very immature product.",
    "Very poor in terms of efficiency and reliability. It is secure and keeps current Rx list up to date.",
    "Be cautious of this software despite its grandiose claims. When it works -- which is not often -- it works.",
    "Worst customer service. No phone service: will not speak only chat. I did not know how to do the stuff I needed to fix my problem. Waited more than a week to get help with iPrescribe. Switched to MD TOOLBOX and love it. Never going back.",
    "This has been the most time-consuming horrible tedious process I’ve ever done. There is no phone number to call. I get random emails from support early in the morning when I’m still asleep. After two months of trying to set this up, it’s still not working!",
    "Absolutely nothing has been positive about my experience. This system has been the worst thing I’ve ever worked with in healthcare. It’s been two months and I still don’t have my EPCS set up to prescribe controlled substances. I’ve literally given up.",
    "Frustrating as due to trying to find support through DrFirst to help with re-install ID.me authenticator app and had to use the darn CHAT (for tech support?!); DrFirst NO LONGER provide phone support; without it, it's VERY INEFFICIENT; gonna look into other vendors that have PHONE SUPPORT. If there is an urgent matter, like need to get a prescription out, you're SOL.",
    "Literally ......no customer service. Onboarding 6 years ago was fine. Attentive to what I needed, now it's horrible. I have been with this company for a while and they used to have good service, but it appears that their customer service no longer exists via phone. Virtual assistants are rude and unable to assist or connect you with a supervisor or manager. On hold now for 1 hour and 15 minutes. Email option just sends you an email that they received it but it all stops there. I cannot send any scripts today and will invest time in finding a new company. They claim that they don't have my email info but the invoice which I paid in full has all my updated information. DON'T DO IT! NOT WORTH THE HASSLE.",
    "Worst EMR System to date. Terrible. Second time trying after several months to get this going. Going on day 4 and nothing but headaches.",
    "Laborious, time-consuming, inefficient. Printing is still best. Pharmacies haven't adopted eRx enough yet to make this efficient. We receive too many calls back from patients where pharmacies haven't received the eRx or the pharmacy doesn't accept eRx (even though the Surescripts database provided to DrFirst indicates the pharmacy is accepting)."
  ],
  "ratings": [
    "2.6 out of 5 stars on G2",
    "1.0 out of 5 stars on Capterra",
    "0.5 out of 5 stars on G2 for iPrescribe",
    "4.5 out of 5 stars on G2 for PatientAdvisor"
  ],
  "support_channels": [
    "email",
    "chat",
    "ticketing",
    "community",
    "24x7"
  ],
  "training_options": [
    "documentation",
    "webinars",
    "live_online",
    "onsite",
    "certification"
  ],
  "release_year": "2000",
  "integration_partners": [
    "MDToolbox",
    "MDToolbox EHR",
    "MDToolbox EHR Software",
    "MDToolbox EHR System",
    "MDToolbox EHR Solutions",
    "MDToolbox EHR Reviews",
    "MDToolbox EHR Pricing",
    "MDToolbox EHR Features",
    "MDToolbox EHR Demo",
    "MDToolbox EHR Support",
    "MDToolbox EHR Training",
    "MDToolbox EHR Implementation",
    "MDToolbox EHR Integration",
    "MDToolbox EHR Security",
    "MDToolbox EHR Compliance",
    "MDToolbox EHR Updates",
    "MDToolbox EHR Upgrades",
    "MDToolbox EHR Customization",
    "MDToolbox EHR Templates",
    "MDToolbox EHR Reporting",
    "MDToolbox EHR Analytics"
  ],
  "id": "SW0824",
  "slug": "electronic-prior-authorization",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-10-11",
  "links_json": {
    "self": "https://www.healthaidb.com/software/electronic-prior-authorization.json"
  }
}

Electronic Prior Authorization

Company Name

Product URL

Company URL

Categories

Summary

Description

Api Available

Certifications

Company Founding

Company Offices

Compliance

Customers

Data Residency

Data Standards

Deployment Model

Features

Id

Integration Partners

Integrations

Languages Supported

Last Updated

License

Market Segment

Optional Modules

Os Platforms

Pricing Details

Pricing Model

Privacy Features

Product Code

Product Name

Ratings

Regions Available

Related Urls

Release Year

Security Features

Specialties

Support Channels

System Requirements

Target Users

Training Options

Type

User Reviews

Version

Alternatives

Canonical JSON