Clinavis

Users

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Role Permissions

Configure which roles can perform each action in

Check the box to allow that role to perform the action. Changes take effect immediately after saving.

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Custom PA Request

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Fill in medication details to create a PA request without an existing order

Medication Type

💊 Drug Information

Drug Name *

Strength / Concentration *

Dosage Form

Route of Administration

SIG / Directions *

Quantity *

Days Supply

NDC (11-digit)

HCPCS / J-Code

Duration of Therapy

RxNorm (optional)

👨‍⚕️ Prescriber

Prescriber Name *

NPI (optional)

🩺 Diagnoses — Clinical Indication (at least one required)

🛡 Insurance (at least one required — PA is submitted to the insurer)

📋 Step Therapy — Prior Medications Tried

List medications previously tried & failed — documents step therapy for payer criteria

⚡ Urgency

Routine Urgent Emergent

🔧 Admin Console

thdakxo@hotmail.com — Super Admin

Manage

🏢

Organizations

Manage orgs, users, roles, and Epic / FHIR connections

🛡️

Blocked IPs

View and manage IP addresses blocked for abusive login attempts

Select a patient from the list

PA Request

Drug Requested

Name

Dosage

RxNorm

Qty / Days Supply

Diagnoses

Insurance

Step Therapy History

PA Automation

Users

Role Permissions

Custom PA Request

🔧 Admin Console

Manage

Organizations

Select an organization

All Patients

PA Request

PA + Clinical Note

PA Queue

Clinavis

Users

Role Permissions

Settings

Add User

Add Existing User

Custom PA Request

🔧 Admin Console

Manage

Organizations

Select an organization

Blocked IP Addresses

Create Organization

Add User

All Patients

PA Request

PA + Clinical Note

PA Queue

Generate Clinical Note?

Submit PA Without Clinical Note?