Prior Authorization Submission for Specialty Pharmacy Managers with TherigySTM

Run prior authorization submission on autopilot inside TherigySTM.

TherigySTM Specialty Pharmacy Manager Specialty Pharmacy

The Problem

Prior auths for Specialty Pharmacy procedures sit in CareTend queues for days — the patient reschedules, the surgeon's OR time goes unused, and the practice eats the margin.

What We Build in TherigySTM

AI checks payer-specific PA requirements, pulls the chart from CareTend, submits the PA with clinical justification, and tracks status — turnaround drops from 7 days to under 48 hours. Purpose-built for teams running TherigySTM — uses the native API or agent integration so nothing leaves the system of record.

TherigySTM Integration Approach

1

Audit your TherigySTM configuration

We map the specific TherigySTM objects, custom fields, and workflows the automation needs to touch for your specialty pharmacy practice.

2

Build on the TherigySTM API or agent

Integration happens inside TherigySTM — no data leaves the system, no parallel tool for your team to learn, no license changes.

3

Human-in-the-loop handoff

Every automation routes exceptions back to a human in TherigySTM with enough context to act — AI handles the 80%, your team owns the judgment calls.

Frequently asked

Does this prior authorization submission automation work natively in TherigySTM?+

Yes — we build directly on TherigySTM's API or agent integration. Your data stays in TherigySTM, your specialty pharmacy managers keep the same login and UI, and there's no parallel system for the team to learn.

What TherigySTM configuration do we need before deployment?+

We work with your existing TherigySTM setup. During discovery we map the specific objects, custom fields, and workflows the automation touches — no rip-and-replace required for specialty pharmacy teams.

Can TherigySTM handle prior authorization submission on its own?+

TherigySTM handles configuration; AI handles judgment. Native TherigySTM workflows route deterministic tasks; our automation layer adds the AI judgment TherigySTM doesn't ship out of the box — document classification, exception triage, drafting.

Is TherigySTM the right tool for prior authorization submission for specialty pharmacy managers?+

TherigySTM is widely used among specialty pharmacy teams precisely because of its data model around prior authorization submission. We've deployed this workflow on TherigySTM for similar firms and the integration is well-trodden.

What's the typical ROI of prior authorization submission automation in TherigySTM?+

For specialty pharmacy firms running TherigySTM, automation typically pays back inside the first quarter — measured against the loaded cost of the specialty pharmacy manager hours absorbed. Higher volumes deploy faster.

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See this running in your TherigySTM instance

30-minute call. We'll look at your actual TherigySTM setup and show exactly how this workflow fits.

More About This Workflow

Prior Authorization Submission for Specialty Pharmacy Managers

AI checks payer-specific PA requirements, pulls the chart from CareTend, submits the PA with clinical justification, and tracks status — turnaround drops from 7 days to under 48 hours.

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