Workflows/Prior Authorization

Workflow #1 — more industries and use cases being added

Pharmacy & Healthcare

Prior Authorization Tracking

Stop chasing insurance. Start tracking automatically.

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3–5
Days average PA delay
Insurance queues with zero status updates
90min
Staff time lost per day
Calling insurers, logging status manually
25%
PA abandonment rate
Patients give up before approval is received
10×
Faster follow-up
Automatic alerts vs manual daily check-ins

The Problem

PA tracking is broken — and it costs you every day.

Once a Prior Authorization is submitted, it vanishes into an insurance queue. Your staff call to check status, log nothing, call again tomorrow, and repeat — for every single prescription. Managers find out things are overdue when patients call in frustrated. Jeniqo ends that loop.

⏱️

No visibility into status

PAs disappear into insurance queues with no way to check without calling.

📋

Everything tracked in spreadsheets

Context vanishes when staff are out sick and shift handoffs rely on sticky notes.

🔁

2–4 calls per PA, nothing logged

The same work repeats every shift because call records don't exist.

🚨

Managers find out too late

Overdue PAs surface only after a patient has already called in angry.

The Workflow

Four steps. Zero spreadsheets.

Jeniqo handles the tracking, the timing, and the escalation — automatically.

01

Log a PA

Step 1

Staff enter the patient name, medication, and insurer in under 30 seconds. Jeniqo immediately creates a timestamped case, assigns it to the current team member, and starts the SLA clock. No spreadsheet row, no email thread — just a clean, trackable record from the first moment.

then
02

Jeniqo watches

Step 2

Every call made, every note left, every status change is logged automatically against the case. The 48-hour response SLA ticks in the background. Any team member can open the case and immediately see the full history — who called, when, what was said. Shift changes stop causing information loss.

then
03

Auto-escalate

Step 3

When insurance hasn't responded within 48 hours, Jeniqo fires alerts to both the assigned staff member and their manager — no manual monitoring required. The alert includes a direct link to the case, its full history, and a one-click option to log the follow-up call. Managers see overdue PAs before patients do.

then
04

Resolve & notify

Step 4

Once approved or denied, staff mark the outcome in one click. Jeniqo automatically notifies the patient and, if applicable, the referring pharmacy. The complete activity log is preserved — audit-ready, searchable, and available to any team member at any time. The PA is done and the record is clean.

Before & After

What actually changes.

Every stage of the PA lifecycle, side by side.

Stage
✕ Without Jeniqo
✓ With Jeniqo
PA submitted
Fax or phone call. Row added to spreadsheet manually.
Case created instantly. SLA clock starts automatically.
Status check
Staff calls insurance every 1–2 days. No call record kept.
Jeniqo monitors. Every touchpoint logged in real time.
Overdue PA
Manager discovers delay when patient calls in angry.
Alert sent to staff + manager automatically at hour 48.
Shift handoff
Verbal update or sticky note. Context is always lost.
Full activity log. Any team member can pick up instantly.
Approval / denial
Staff updates spreadsheet, calls patient, calls pharmacy.
Status auto-updated. Patient and pharmacy notified.

Key Benefits

Built for the people who do the work.

45–90 minutes saved per day

No more manually calling insurance to check status. Jeniqo tracks it and alerts you only when action is needed.

👁️

Full visibility for managers

See every open PA, its age, its assigned staff member, and its last update — on one screen, at any time.

🔄

Nothing falls through on shift change

The activity log means any team member can pick up any PA instantly. Context is never lost when someone is out.

🚀

No EHR integration needed to start

Jeniqo works as a standalone tool from day one. Log a PA in seconds. Integrate deeper as you grow.

"

"Which PAs are overdue?" is the first thing our manager asks every morning. Right now we have no good answer. That needs to change.

Pharmacy staff, Jeniqo discovery research · 2026

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