PA Logic Solutions has a 20-year history providing prior authorization programs to the national healthcare market.
Our products and services are currently utilized by government and commercial health plans, TPAs, and PBMs.
We have covered lives in all 50 states.
PA Logic Solutions’ home is located in Auburn, Alabama.
We employ over 75 people to include executive management, software developers, pharmacists, certified pharmacy technicians, and call center associates.
We work with our clients to fully understand their prior authorization requirements. We configure our self-service and full-service offerings to meet our client-specific workflows. This includes their plans, groups, formulary, lines of business, letters, faxes, call center scripts, etc. PA Logic Solutions provides a clear path for the client’s success.
We offer two licensing options to our clients:
PA Logic Full Service: Our clinical and call center staff use the PA Logic application to process prior authorizations on behalf of a plan. The PA Logic team can handle multiple lines of business providing the client as much or as little operational support as needed.
PA Logic Self-Service: The PA Logic Self-Service software platform offers end-to-end prior authorization processing to meet the needs of our clients. The Self-Service option supports the client in providing as much or as little staffing as the client finds productive.
PA Logic Solutions is completely independent of the drug industry.
PA Logic’s evidence-based decisions for members result in appropriate drug utilization and cost savings to plans.
Our clinical team utilizes claims history and makes programmatic recommendations specific to the plan and its members.
Our Solutions
Full Service
- Our pharmacists and technicians process PA orders for clients
- Fully-staffed call center to field calls and requests from plans and providers
- Print and mail services for member and provider communications
- Full Implementation Assistance and System Deployment
- Configuration of Lines of Business (LOBs), Letter & Fax Templates, and Timers
- Initial setup, development, and maintenance of clinical criteria
- wOngoing support, content releases, and reporting metrics
Self-Service PA Software
More than just a software system – our technicians use this software system every day.
- Subscription based platform for the PA Logic software
- Clients utilize their existing staff to process prior authorization orders
- Full Implementation Assistance and System Deployment
- Configuration of Lines of Business (LOBs), Letter & Fax Templates, and Timers
- Initial setup, development, and maintenance of clinical criteria
- wOngoing support, content releases, and reporting metrics
Unique Approach to Cost Savings
PA Logic Solutions typically generates cost savings on its clients’ plans regardless of size. Our approach to cost savings provides compliance with formulary guidelines while ensuring members receive appropriate therapies for their disease state.
Click the button below to learn more about our Cost Savings through Dosing Optimization.
Recent News
WRBL: New Alabama law empowers consumers when it comes to prescription prices
Original Article found on WRBL's site. by: Greg Loyd Montgomery, Ala. (WIAT) — For years, pharmacists were not allowed to tell customers about cheaper drug prices. Now, a new law in Alabama has reversed that policy, allowing the pharmacists to let their customers know...
PA Logic Solutions LLC Awarded Three-Year Accreditation by the National Committee for Quality Assurance (NCQA) in Utilization Management
The National Committee for Quality Assurance (NCQA) has PA Logic Solutions a three-year Utilization Management (UM) Accreditation. Over the past year, PA Logic Solutions' clinical and quality teams participated in the NCQA review process and quality assessment...
AL.com: Blue Cross changes opioid coverage, drops standard OxyContin
Article originally published on AL.com on November 7, 2018. Link to original article here. By Lawrence Specker | lspecker@al.com Blue Cross and Blue Shield of Alabama has announced new changes to its opioid policy, including a decision that the insurer will no longer...
Let's Work Together!
Our team is ready to discuss your prior authorization needs.