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Prior Authorization Workflow to Standards Task Group Update

2. Philosophy. this is not an attempt to usurp the coverage decisions of the plans but an effort to streamline and standardize the mechanism for the activity." NCPDP Prior Authorization Workflow-to-Transactions Task Group Member. 3. Task Group Overview. Task Group Name: Prior Authorization Wo

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Prior Authorization Workflow to Standards Task Group Update

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    1. 1 Prior Authorization Workflow to Standards Task Group Update National Committee on Vital and Health Statistics Subcommittee on Standards & Security July 26, 2005

    2. 2 Philosophy “ … this is not an attempt to usurp the coverage decisions of the plans but an effort to streamline and standardize the mechanism for the activity.” NCPDP Prior Authorization Workflow-to-Transactions Task Group Member

    3. 3 Task Group Overview Task Group Name: Prior Authorization Workflow-to-Transactions Date Task Group Formed: November 18, 2004 Task Group Leader(s): Tony Schueth, MS; Ajit Dhavle, PharmD, MBA Objectives: Promote standardized automated adjudication of prior authorization Coordinate the further development and alignment of standards Identify additional needed standards

    4. 4 Task Group Members

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