Chicago-Based Eversana Unveils Technology-Enabled eBV & ePA Platform ACTICS eAccess

According to the company, ACTICS eAccess offers 90% accuracy by leveraging Eversana's digital connectivity to more than 1,400 players across the US. Further, the tech-enabled platform integrates data from more than 90% of covered lives to verify pharmacy and major medical plan coverage.  

Eversana, a leading provider of commercialisation services to the global life sciences industry, has unveiled its new proprietary electronic benefits verification (eBV) and electronic prior authorization (ePA) platform called ACTICS eAccess.
The technology gives Eversana's patient service teams a quick insight into patient coverage from both pharmacy and major medical plans, the potential need for prior authorisation support, and any financial responsibilities impacting patient access and speedy treatment.  
According to the company, ACTICS eAccess offers 90% accuracy by leveraging Eversana's digital connectivity to more than 1,400 players across the US. Further, the tech-enabled platform integrates data from more than 90% of covered lives to verify pharmacy and major medical plan coverage. 

Through ACTICS eAccess' insight into major medical plans, patients and providers can determine patient-specific out-of-pocket costs, patient deductibles, and coverage for physician-administered drugs, buy and bill as well as ancillary services.

Additionally, healthcare providers have the capability to analyse coverage and assess out-of-pocket expenses for patients in both pharmacy and medical domains, determining the most favourable reimbursement route. Furthermore, advanced technology streamlines the prior authorisation submission process, delivering a much higher percentage of accepted submissions by insurance providers. 
Founded in 2017, Eversana aims to make global market access more efficient for its partners, setting a new standard of service for the life science industry. The company's integrated solutions are rooted in the patient experience and span all stages of the product life cycle to deliver long-term, sustainable value for patients, prescribers, channel partners and payers.

In a similar development, Bengaluru-based Health insurance startup Plum launched PolicyGPT which is an AI-powered tool that seeks to offer customers educational information about their policies by conversing with a bot in '˜natural language'.

In another instance, Google's AI tool, Claims Data Activator is designed to assist health insurers in streamlining the prior authorisation process. Leveraging various existing Google AI models, the software extracts information from documents and organises it in a standard format, facilitating faster and more efficient human review.