PegaWorld 2017: Express Scripts - Journey of the Coverage Reviews and Prior Authorization Process (Presentation)

Focusing on improving the Coverage Review and Prior Authorization process, Express Scripts embarked on a transformation journey in 2012. Their multi-pronged approach includes Call Center, Electronic Prior Authorization, and a multi-channel experience which are implemented on the Pega Platform. They will share their success story around this process, along with lessons learned and how they have developed a state-of-the-art monitoring and controls solution for Medicare TAT’s.


Related Resources

PegaWorld 2018 promo card

PegaWorld 2018

Registration is Now Open

Discover why 4,500 global leaders plan to join us next June in Las Vegas!

The Alternative


Don’t fall for the hype. See why today’s leading enterprises choose Pega CRM.