Automatically Initiating ePA for RxChange Messages
1 min
rxchange messages can be sent from the pharmacy to request changes to a received prescription if an rxchange type p is received and no pa has been initiated, then it should be automatically done the rxchange response should be sent after a final determination has been received if an rxchange type is received and the pa is in progress, the priorauthorizationstatus of the rxchange response should reflect the status please be aware of the following if eligibility information is less than 72 hours old, provider vendors should include all benefit information from the original eligibility response (271) that is listed in the sending prior authorization initiation requests docid\ f scglko2h5cdro le8w0 section if eligibility information is more than 72 hours old, provider should send a new eligibility request for purposes of populating the benefitscoordination segment of the painitiationrequest