CoverMyMeds Reviews

“Chat is slow and often crashes

Pros

On a daily basis, I only need to log in once which is very convenient for me. Whenever a live representative is available, I've found they can usually identify why the app is failing and resolve the issue promptly.

Cons

Honestly, the chat feature is basically useless for me. I find it slow and it rarely answers the questions I ask, instead pushing me to wait for a human who often isn't available. The platform crashes or misbehaves about half the time and it will sometimes direct me to sections of the website that don't exist. Its archival tools feel outdated and clunky, forcing me to choose from limited options that don't reflect my needs. It also annoyingly repeats questions it has already asked and will demand citations or research studies to support a simple statement. On top of that, the allowed upload size is tiny compared with the kinds of files the system expects me to submit which makes some tasks impractical.

“Simple prior auth submission

Pros

In my workflow, transmitting prior authorization forms to providers feels very simple which saves me time.

Cons

Although it does offer some integration with the McKesson Enterprise pharmacy system for sending prior authorizations, I find myself wishing it provided more great functionality, for example, the ability to directly access the complete prior authorization histories housed in McKesson so we wouldn't have to log in to that system separately every time.

“Steep learning curve

Pros

With this system, I find submitting prior authorizations much more aligned. I also appreciate how helpful the customer support team is whenever I need guidance.

Cons

it is difficult to use as a beginner and feel it requires proper training. It occasionally returns incorrect information, for example, it has told me an authorization wasn't submitted even after it went through. When there's a problem with submitting authorizations, it doesn't explain what's wrong clearly. Also, it asks too many questions which makes the whole process harder.

“prior authorizations fail to submit

Pros

At our clinic, I value that we can submit prior authorizations without having to call the insurance company which reduces delays for me.

Cons

We've had several occasions when a prior authorization wouldn't submit online and I ended up needing to call patients' insurance companies to resolve the problem.

“Reduces paperwork, simplifies workflow

Pros

From what I've experienced, it simplifies the entire prior-authorization workflow, reduces paperwork and makes coordination with pharmacies and other providers much easier for me.

Cons

There are times when I hit processing delays or experience system glitches that end up slowing approval times for me.

“Upgrade & support disappointing

Pros

Being online is the only upside. I have nothing else positive to say

Cons

Right now it's basically everything I dislike. The software upgrade isn't an upgrade. Current customer service staff don't know what they're doing.

“Cannot process requests

Pros

In the past, I considered this one of the best platforms for submitting authorizations but recently I haven't even been able to complete the process which makes it feel almost useless to me.

Cons

We are completely unable to process our requests through this platform now, each submission fails with different error messages and provider support offers no solutions whatsoever.

“time-saving authorization tool

Pros

Compared to calling each insurance company individually, I find this tool far more convenient for submitting medication prior authorizations. It saves me time and frustration.

Cons

the platform works well overall and the majority of problems I find stem from user mistakes rather than the system. One small annoyance I've noticed is when a pharmacy submits a prior authorization and types the provider's details incorrectly, the wrong provider information then gets copied over into my account too. Fixing it is feasible but it's irritating because the error wasn't mine. It's an easy correction, yet it still causes unnecessary back-and-forth.

“Trusted for prior authorizations

Pros

Within our practice, this is the platform I rely on whenever I need to process prior authorizations.

Cons

it is hard for me to follow up on a prior authorization with this system.

“Simplifies all authorizations!!

Pros

For my daily tasks, this tool truly simplifies submitting and checking medication prior authorizations across Medicare, Medicaid and commercial plans which makes my workflow smoother.

Cons

it doesn't let me integrate our EMR smoothly into the prior authorization workflow.

“Claim delays cause frustration

Pros

In my experience, it's convenient overall, though I sometimes run into issues when certain forms aren't available.

Cons

I filed a claim for my child's ongoing medication early on 8/18/22. He has been stable on this prescription for the past year. He was previously in foster care and has now been adopted. He is eight years old. The claim wasn't processed by Select Health until today despite many phone calls. When I check this portal I see it wasn't sent to Select Health until 8/22/22, three days after I completed the online form. I'm really unhappy with this portal but SC Medicaid plans force me to use it.

“Fast and free pharmacy prior auths!!

Pros

As a medical provider, I've found this platform to be my top choice for handling pharmacy prior authorizations. I can use it without paying anything and completing the online form takes far less time than staying on hold with insurance representatives who often ask the same questions repeatedly. Most of the time, I receive a response immediately or within a few minutes.

Cons

In my experience, a number of insurance plans, Georgia Medicaid being one example, aren't yet hooked up to this service. I don't see this as a flaw with the platform itself, rather, it reflects that certain insurers haven't taken the steps to integrate. Until they do, that limits the tool's reach for patients covered by those specific plans.

“Adds admin burden to physicians

Pros

When trying to submit feedback, I noticed the site flagged my "pros" section as too short and wouldn't allow me to proceed without adding more detail which I found frustrating.

Cons

This whole move that many parts of healthcare (like labs and imaging) are adopting is awful. It essentially shifts all of the pharmacy's administrative data-entry onto the physician and I find that completely wrong. When a doctor prescribes, they shouldn't be expected to waste clinical time typing in Rx group numbers, patient addresses and other administrative details into the pharmacy system on top of managing care. I carved out time during my very busy clinic to post this because two of my patients couldn't pick up their medications today since their insurers require use of this software. I'm furious about the extra burden and how it interfered with patient care.

“Quick PA alerts and responses

Pros

What stands out to me most is how quickly I'm notified when a prescription requires prior authorization, how simple the process is to complete and how fast I usually receive a response, often within minutes.

Cons

Honestly, there isn't anything negative I can report about this tool, in my experience it has always worked reliably and I've never found a failure.

“Improves retail pharmacy workflow

Pros

this platform has been a huge help in managing prior authorizations for our retail pharmacies. It has eased a significant burden for me and made our workflow much more efficient.

Cons

I like pretty much everything about this platform, they consistently deliver great service and make the whole process easy for our team.

“Connects offices insurers and pharmacies

Pros

In my role, I find it very helpful that this system connects medical offices, insurers and pharmacies in one place, allowing me to communicate efficiently and secure medication approvals as quickly as possible for patients.

Cons

Over the more than five years I've used this platform, the only real downside I've found is that many of the questions about a medication come off as repetitive, the system often asks the same thing multiple times just worded differently which can get a bit tiresome.

“Adds paperwork and delays care

Pros

Honestly, I haven't had a positive experience with it, I feel it can cause serious delays which concerns me when my patients are waiting for essential medications.

Cons

It just adds another layer of paperwork and I feel it doesn't work well, it causes major delays for my patients.

“Repetitive data entry slows approvals

Pros

For me, the program feels much more accessible than calling an insurance carrier for prior authorization which saves me valuable time.

Cons

Honestly, the software forces me to re-enter patient information that the insurance carrier already has on record and in practice that just makes completing a prior authorization take a lot longer than it should. What's even more infuriating is that when an acceptable generic could replace a branded medication, instead of allowing a one-click confirmation to accept the substitution, the system requires starting an entirely new prior authorization. That feels like such a glaring design flaw that I can only conclude the program was built in a way that makes the whole authorization process unnecessarily burdensome, apparently discouraging the use of medications that need pre-approval.

“Helpful for learning drug programs

Pros

During my time as a medical student, I found it extremely helpful in understanding and managing various prescription drug programs which supported my learning.

Cons

I find it only suitable for a relatively small group of users and it's somewhat pricey for what it offers.

“Simple submission with quick turnaround

Pros

From what I've experienced, the system is fairly feasible to use. I don't need to speak to anyone or wait on hold, I simply complete the form and submit it. Turnaround is usually quick, though it does depend on the specific insurance carrier.

Cons

At times I find it challenging to locate the necessary forms online when I'm trying to get a prior authorization and the difficulty seems to depend largely on which insurance carrier I'm dealing with.

“Easy precertifications reduce stress

Pros

Handling medication precertifications through this tool has been very easy for me. It reduces my stress significantly because the process is quick, convenient and most of the time I receive a response almost immediately.

Cons

So far I haven't run into any real downsides. Over the past year I've used this application roughly twenty to twenty-five times and every single interaction has been positive and smooth.

“Traceable tool supports patient advocacy

Pros

I really value having a tool that's fully traceable and acts almost like a patient advocate in the chaotic US pharmaceutical environment. It lets clinicians focus on patient care while one person in the office can manage it without extra overhead or effort.

Cons

That said, I've run into delays getting insurer-specific information back and when the automation logic doesn't handle cases properly I end up doing paperwork and appeals which brings extra manual effort.

“aligned PA workflow for pharmacies

Pros

Using this app is incredibly easy. When I submit prior authorizations, most of the time I just click a few options and send everything directly to the prescribing doctor. That aligned workflow saves me a lot of time during busy shifts and I'd definitely recommend it to any pharmacy looking to simplify daily tasks.

Cons

Every so often the system won't let me access past prior authorizations I've already submitted. There was one occasion when I was sure I had sent a form to the doctor's office, yet they kept phoning to say they never got it. Restarting my computer fixed the issue that time and I haven't run into the problem since.

“Cuts phone time in clinics

Pros

In my clinical work, I've found this program extremely useful. It's easy to navigate and has cut down our clinic's phone time significantly, giving us more freedom to focus on patients rather than routine calls.

Cons

no complaints about this tool, it's simple to operate and has saved our team a lot of time and effort when securing prior authorizations.

“easy medication approvals

Pros

From my perspective, the process of obtaining medication approval is very feasible and it doesn't take up too much of our valuable time.

Cons

We don't consistently get the prior authorization alerts through our EHR system, so we end up depending on faxes to reach us. Personally, I'd love for those notifications to appear directly in our EHR exclusively, though I realize the pharmacy might be choosing to send them differently.

“Helpful support and in-app chat

Pros

I rely on this system to help patients get the medications prescribed by their physician. Their technical support team has been very helpful whenever I need to look up specific RX BIN details and I especially like using the in-app chat, it's fast and convenient.

Cons

occasionally I receive odd denial notices after the pharmacy has already submitted a Prior Authorization. I shouldn't be getting those messages unless the PA was routed to the proper destination, so it's confusing and creates unnecessary follow-up work for me.

“Centralized and easy to navigate tool

Pros

Everything feels centralized and easy to use, with all my patients in one place and instructions that are crystal clear which I really appreciate.

Cons

Honestly, I am not able to think of any drawbacks at the moment, since this is the only software of this kind I've ever had the chance to use, so I can't compare it to alternatives.

“Free tool for managing PAs

Pros

As a physician, I'm thankful for this free tool because it helps me manage the growing number of unnecessary medication prior authorizations.

Cons

I live in Massachusetts, where several insurers now require a Standardized State Form for many coverage decisions, unfortunately, this software hasn't been updated to actually provide that current form. Although the correct form appears in the list, clicking it opens a document linked to the pharmacy-benefits manager which is the outdated version from last year. I've reached out to their help desk via chat two times, explained the problem and so far nothing on the website has been fixed or updated.

“Quick authorizations with saved details

Pros

I've found it to be a quick and simple way to obtain medication authorizations. The app stores most of the insurance paperwork and remembers our details, so I don't have to re-enter facility information every time I use it.

Cons

At the moment, can't think of any downsides to this tool. From what I've seen, some forms used to be outdated but I feel like everything seems up to date now.

“Simplifies prior authorization workflow

Pros

Watching my team use this program has shown me how feasible it is for handling prior authorizations. Even though I don't personally manage it much, I've noticed how much it simplifies the entire authorization workflow.

Cons

it can be unreliable at times, some requests either fail or take ages to go through. One practical tip for a practice, make sure every member of your staff knows how to operate it so that if someone is absent, those pending requests don't just sit untouched for days.

“Easier than fax-based PAs

Pros

Using the system, I really appreciated how much easier it made completing prior authorizations for medications electronically, especially when compared to the old fax-based process.

Cons

I didn't like that we continued to receive faxes containing the authorization key, meaning I'm still forced to sift through multiple fax pages to find what I need which defeats much of the convenience.

“Fast real-time prior authorization decisions

Pros

One thing I really appreciate is how simple and fast it is to start and finish a prior authorization, plus I can get a real-time decision on the auth. It also remembers my information and fills fields automatically.

Cons

Occasionally the system will freeze while it's waiting for a response or decision and I end up having to sign out and sign back in to get it working again.

“Efficient and free PA solution

Pros

Prior authorizations usually gobble up time nobody has and create headaches for me, my patients and the pharmacies we work with. This platform has flipped the old workflow from filling out paper forms, typing written data and sending antiquated faxes into an efficient online form. I get the PA request almost instantly, so a lot of hours are saved throughout the PA workflow. In the end, that helps my patients get the medications they need much sooner. Given how unavoidable and frustrating PAs can be, tools like this are essential so I can offer patients the best care possible. Plus, I really appreciate that it's free and signing up only takes a few minutes in clinical practice.

Cons

The interface feels a bit crowded, with so much information crammed onto the screen at once. I wish it were a touch clearer and easier to move through. Also, getting hold of customer service can be a challenge, though when I reach a rep they tend to be very helpful. Once, a PA was submitted with an incorrect detail and correcting it turned into quite an ordeal, so I'd love to see features that make fixing those kinds of mistakes simpler and less time consuming for users and more reliable.

“Speeds up medication approvals

Pros

this software makes it simple for our technicians and doctors to secure medication approvals quickly for patients.

Cons

sometimes in my opinion doctors lack fax numbers in their records and then the information doesn't send properly.

“unreliable site access

Pros

Every now and then it actually works and I find the customer support people are decent, though they can be ineffective at times, on occasions I even managed to get a prior authorization completed this way!

Cons

I couldn't reliably access the site and they didn't stop sending emails until I pushed back repeatedly and insisted several times before they finally stopped.

“Reduces insurance hurdles for PAs

Pros

This tool has been incredibly helpful for handling prior authorizations, letting my patients get their medications more affordably. It removes a lot of the tedious hoops I used to jump through with insurers.

Cons

it took a little while to find my way around and to figure out exactly which pieces of information the system expects.

“No more long hold times

Pros

I no longer have to sit on hold for half an hour or more to get authorizations! Once it's set up, the tool is very easy to use and honestly, the setup itself was simple. I really like this program.

Cons

Everything appeals to me! My only question is how I remove patients from the dashboard after they've been approved, though I expect that's a simple setting to change.

“Easy PA submission and tracking

Pros

For medical pre-authorizations, I'm satisfied with this tool because it lets me submit PAs and track their progress efficiently.

Cons

We end up juggling two systems because it doesn't sync with our EMR, so we're constantly switching between sites.

“Fast medication management

Pros

Whenever I need to manage medications, I find it fast and simple to use which saves me time every day.

Cons

Honestly, I get frustrated because the system forces me to change passwords so frequently that I can't keep up.

“Does not improve PA process

Pros

it doesn't help at all, it just adds another hoop for prior authorizations. In my experience, it doesn't make getting medications approved any easier. It would be useful if it suggested alternate preferred drugs or clearly showed the approval criteria like older tools did. As it stands, I don't see it improving the workflow for prescribers.

Cons

I agree with what I mentioned earlier, from a provider's point of view this absolutely doesn't make the prior authorization process any better at all.

“Organizes and shares PAs easily

Pros

I've found it excellent for organizing prior authorizations and sharing them directly with patients which keeps everything neat and accessible.

Cons

Just a suggestion that I wish there were a formulary database, clear formulary restrictions and a process for non-formulary alternatives, because that would help a lot

“Pre-populated details reduce workload

Pros

In our clinic, this tool makes completing prior authorizations much easier for the office. I also appreciate that it pre-populates patient details which really reduces the workload for staff.

Cons

We have to be very specific about which plan we select for a patient, otherwise the system might send the prior authorization form to the doctor's office under the wrong insurance and that wastes our time and pushes the whole process back.

“Quick insurance approvals

Pros

how simple it is to get prior authorizations from insurance companies. It's such a relief not having to spend hours on hold. With this tool, approvals come in within minutes, saving me a lot of time and stress.

Cons

I haven't found any problems with this software so far.

“Clear notifications and simple process

Pros

The utility is incredibly feasible to operate. I can see notifications pop up whenever a rejection occurs and the process is very simple to follow.

Cons

Honestly, can't think of anything I dislike about it. It's consistently worked correctly for me while I'm processing so far.

“Manual entry and fax issues...

Pros

One thing I appreciate is that any prior authorizations needing pharmacy attention can be forwarded directly through the tool which keeps communication smooth.

Cons

One issue I still run into is that we have to manually enter patient details like insurance and policy numbers and occasionally the tool changes the fax number, making the whole process take much longer to get processed and returned.

“Access anywhere with saved details

Pros

Being able to open the form from anywhere is very convenient for me. It also stores patient details, so future prior authorizations, whether for a different prescription or the next year, are quick to submit. That makes checking approval status fast and avoids time wasted on hold.

Cons

it frustrates me that when a prior authorization has to be handled through another channel, I don't always receive timely notification that this is the case, so I can be left waiting or unaware of the proper next steps.

“Email updates and organized documents

Pros

I receive email updates on the status and I can quickly locate and organize all PA documents in one place which keeps everything efficient and easy to track.

Cons

Having to go in and manually enter the doctor's and patient's addresses bothers me, I can't figure out why the system doesn't automatically carry that information over each time.

“Integrates with pharmacy system

Pros

One feature I really like is that the software integrates directly with my pharmacy system and can automatically submit prior authorization claims straight to the prescribing doctor's office which basically eliminates paperwork for my staff.

Cons

It would be helpful if the software would automatically remove PA requests after a set period, because right now I have to go in and delete them manually. Also, as another user suggested, I would like to see formulary alternatives listed so I can recommend them to a doctor's office.

“Cannot print submitted requests

Pros

What I like most about this tool is that it automatically sends prior authorization requests and it saves me so much time since I don't have to call or fax requests anymore.

Cons

I find the biggest limitation is that I can't print a copy of the request sent to the doctor, or at least I haven't been able to figure out how to do it.

“No formulary list or clear restrictions

Pros

If I could locate the formulary alternatives for any given medical plan and understand the exact requirements for approving non-formulary medications, this tool would be incredibly useful to me. Unfortunately, that's not what this provides. Instead of clear answers, it feels like an added bureaucratic hurdle focused solely on prior authorizations rather than helping patients.

Cons

What I need is a clear list of what's on the formulary and a detailed explanation of the exact restrictions that apply when trying to get a non-formulary medication but this program provides neither. I notice staff give high marks to their workplace which is ironic given they don't seem to be delivering any meaningful service to users.