Electronic Appeals

when a pbm/payer chooses to accept electronic appeals for a pa determination, they should make sure to provide as much detail as possible regarding the requirements that apply this could include any of the following within the appeal element a descriptive panote indicating specific information that may be needed from the prescriber in order to return an approved response contact information for the pbm/payer that may indicate where a prescriber can reach out for information on the pa or appeal process a discrete expirationdate that indicates the date after which an appeal will no longer be considered for the pa