Hint Health

Prior authorization is a health plan process that requires providers to get approval from a health plan before a service is provided so that the patient can receive payment coverage. Hint delivers this service through Dose Spot.

Create a prescription order per the instructions <a href="https://support.hint.com/en/articles/9019848-eprescribe-in-dose-spot" rel="nofollow noopener noreferrer" target="_blank">here</a>

The prescription should appear under 'Pending Medications' with the clipboard icon indicating the medication requires prior authorization

Click 'Actions' on the left side and choose 'Start Prior Auth'

A pop-up will appear to initialize prior authorization. You may choose to expedite.

Next, the order will appear under 'Active Prior Authorization Requests'

You will be asked if you are sure you want to send answers to the payer

Clicking “Ok” in the previous step will add the medication to the “Active Prior Authorization Requests” tab as “Requested”.

Next, wait for the medication to be added to the “Pending Medications” tab. Here you can select “View Prior Auth History” to see the outcome of your request. There are three potential outcomes:

1. Create a prescription order per the instructions <a href="https://support.hint.com/en/articles/9019848-eprescribe-in-dose-spot" rel="nofollow noopener noreferrer" target="_blank">here</a>
2. The prescription should appear under 'Pending Medications' with the clipboard icon indicating the medication requires prior authorization

3. Select the medication on the right side
4. Click 'Actions' on the left side and choose 'Start Prior Auth'

5. A pop-up will appear to initialize prior authorization. You may choose to expedite.
6. Click ePA Request

7. Next, the order will appear under 'Active Prior Authorization Requests'
8. Click 'Actions' &gt; Answer Questions
   
    
9. Answer a series of 6 questions
10. View Summary 
11. You will be asked if you are sure you want to send answers to the payer
12. Click 'OK'
13. Clicking “Ok” in the previous step will add the medication to the “Active Prior Authorization Requests” tab as “Requested”.
14. Next, wait for the medication to be added to the “Pending Medications” tab. Here you can select “View Prior Auth History” to see the outcome of your request. There are three potential outcomes: