A fully branded, end-to-end workflow covering referral intake, benefits investigation, prior authorization, copay processing, and real-time analytics — all through one unified hub.
Upon referral receipt, Medmonk triggers all four actions at once — no delays, no manual hand-offs.
Prescriber notified instantly for every new patient with real-time status updates on the provider portal.
Personal patient welcome call placed within 4–6 hours of referral receipt.
Electronic and/or manual BI performed immediately to determine coverage and full eligibility.
Real-time SMS for consent. No response triggers follow-ups at 24hr, 48hr, and 72hr.
Medmonk auto-generates a Letter of Medical Necessity (LMN) based on the patient's diagnosis (DX) and payor-specific guidelines — no manual drafting required.
A unique link is sent to the prescriber for digital review and one-click approval, then electronically submitted to the primary payor.
Medmonk actively monitors PA status in real time. Every outcome has an immediate next action.
Patient packet uploaded to provider portal. Data synced to Manufacturer Portal for complete real-time visibility.
Immediate PA follow-up initiated — status check with the payor or formal appeal filed on behalf of the patient.
All workflow data available in the Manufacturer Portal — complete real-time visibility across every stage of the patient journey.
Every touchpoint timestamped and tracked:
Two parallel claim tracks run simultaneously to ensure complete copay coverage for both pharmacy and medical benefit patients.
ACH payments processed and remittance posted directly on the provider portal — closing the complete financial loop from referral to reimbursement.
Auto-generated LMN & electronic submission — no manual drafting
Single branded entry point for all referral channels
Real-time timestamps across every touchpoint in the workflow
Pharmacy NCPDP <3s + Medical EOB/835 processed in parallel
Payments & remittance posted directly to provider portal
All portals & communications branded to the manufacturer