The Workflow

From script to approval — automated in parallel

Most PA tools file a request and wait. Medsync runs PA and benefits verification simultaneously the moment a script arrives, collapsing a 4-day serial process into a same-day result.

Step by Step

The complete Medsync workflow

Five checkpoints. Your team only intervenes when the payer requires human input.

1

Prescription received

Medsync detects a new specialty script from your pharmacy management system (Rx30, PioneerRx, QS/1) and immediately begins processing. No manual trigger required.

2

Patient eligibility verified

Real-time eligibility check confirms the patient's current coverage, formulary tier, deductible position, and any prior auth requirements — before filing anything.

3

PA filing + BV check fire in parallel

Medsync files the PA request with the payer while the benefits verification check runs simultaneously — not sequentially. Most pharmacy workflows treat these as serial steps because the manual process forced it that way. Medsync removes that constraint: payers don't require BV results before accepting a PA submission, and BV doesn't require a PA decision before it can run.

4

Payer response tracked in real time

Medsync polls payer portals continuously and surfaces status changes to your dashboard immediately — approvals, additional information requests, or denials.

5

Pharmacy notified with outcome + next steps

Approved scripts move to fill queue automatically. Denials surface with appeal recommendations. Additional info requests go directly to the appropriate staff member — no routing confusion.

Serial vs. Parallel

Why running PA and BV in parallel cuts days to hours

Sequential processing has a compounding wait problem. Parallel processing eliminates it — same steps, different architecture, measurably faster outcome.

Traditional process
  • Script received → staff logs in to payer portal
  • PA form completed manually (20–40 min)
  • Wait for payer acknowledgement (hours)
  • Wait for approval/denial (1–3 more days)
  • BV run separately (additional 30–60 min)
  • Patient contacted with results
Total: 3–5 business days
Medsync parallel process
  • Script detected → PA + BV queued automatically
  • PA auto-filed to payer (0 staff time)
  • BV check completes in parallel (minutes)
  • Payer response tracked continuously
  • Status surfaces to dashboard in real time
  • Staff handles exceptions only
Total: ~4–8 hours same day
Connectivity

Works with your existing systems

Medsync connects into your current pharmacy workflow — no rip-and-replace required.

Pharmacy System Rx30 · PioneerRx · QS/1 Medsync PA + BV engine Medsync Status dashboard Payer Portals Commercial · Medicaid Prescriber EHR For clinical criteria

See it working in your pharmacy

A 30-minute walkthrough using your actual script volume. No commitment, no generic demo.