PA Submitted by a Person Other than the Prescriber
2 min
in this example, the initiator of the prior authorization process is a staff member in the provider vendor’s organization who can be reached at a different phone number than the prescriber to provide this additional contact information, the epa standard enables the initiating person to provide their separate contact information in the provider element of the prior authorization message (see provider elements in the ncpdp script implementation guide for more information) if the pbm/payer needs to call or fax the initiator during processing, it uses the contact information contained in this provider element rather than the phone or fax in the prescriber segment the requested medication is lovenox (lovenox 40 mg per 0 4 ml prefilled syringe; rxnorm sbd 854236; ndc 58016487201) note this example does not include the status messages or any other part of the normal message flow this section contains the following message example painitiationrequest (from initiating party) docid 1qhlexwa8u4sxydnllime