Electronic Prior Authorization

A woman filling out an electronic insurance claim form on a tablet.

Welcome to our April 2026 update on electronic Prior Authorization (ePA)! This section describes the current prior authorization process, how it could be improved, and gives you up to date information on electronic prior authorization.

What is Electronic Prior Authorization (ePA)

In electronic prior authorization, the preparation, submission, and adjudication of claims are made online. This is the way claims are processed for non-specialty drugs that do not require prior authorization. In a fully ePA environment:

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  • Patient support programs and drug access navigators will continue to facilitate the completion of electronic claim forms and submit them electronically to payers without the need for mail or fax.
  • Payers will receive completed claim forms and medical records electronically and these will download into their PA adjudication system.
  • Some payers may adopt a virtual claims platform where claims information is entered directly to payers with the assistance of AI.
  • Most claims will be adjudicated electronically, often with the assistance of AI.

While some drugs requiring prior authorization, like GLP-1s, may be available from a patient’s local pharmacy, and patients may have a similar pharmacy experience as for other medications, other specialty medications will only be avialable through a limited number of community pharmacies or specialty pharmacies because of storage or administration requirements.