Glossary Terms
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pa – acronym for prior authorization epa – acronym for electronic prior authorization pbm – pharmacy benefit manager this may be who processes prior authorizations for the patient pdr link – when no third party processor for the prior auth is found, surescripts performs a final check to see if an electronic form can be found using asembia if so, an internet url is provided to the form in the painitiationresponse third party processor – there are times in which the pbm is not the processor for prior authorizations, but they work with another party that does surescripts refers to these as third party processors ui – user interface the accelerator is the user interface provided by surescripts priority indicator – a new element introduced with the 2017071 standard this value allows a provider to indicate when expedited processing is required in the xml, a value of x is sent when the requested medication will prevent serious deterioration in the patient’s health or could jeopardize the patient’s ability to regain maximum function in accelerator, this detail is included as highlighted below if expedited processing is not required, this element should not be mapped