A real-time benefits check is a feature that allows providers to search if a drug is covered under the patient’s pharmacy benefit and if there are any associated restrictions. This feature can be utilized during the patient visit or during prescribing. Providers can also run a test claim and submit a prior authorization, if applicable, directly from the program. You can utilize this feature if the healthcare system electronic health records are integrated with real-time benefits check.
The biggest advantage of utilizing this feature is to minimize the time between the moment a prescription is given to the patient and the time the patient starts taking the drug.