The index, released Dec. 15, analyzed automation levels among pharmacy benefit managers for three common administrative transactions in 2019. The data, which was contributed by PBMs, represent 65 percent of all covered individuals in the U.S.
The automation levels for three types of pharmacy administrative transactions:
- Claim submission: 99 percent
- Eligibility and benefit verification: 94 percent
- Electronic prior authorization: 75 percent
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