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Case Study · Dedicated Healthcare Support

Pharmacy Refill Outreach & Prior Authorization Support

A dedicated outreach and prior authorization team expanded capacity, strengthened follow-up, and supported prescription continuity.

Large multi-location pharmacy group operating across the United States

Pharmacy supportLive visibility

Operational view

Workflow activity

Refill outreach

PA follow-up

Escalation

Scalable pharmacy support
Multi-location
Proactive patient follow-up
Refill outreach
Submission, tracking, and follow-up
Prior authorization
Added capacity at lower cost
Efficient model

Challenge

The operational challenge

The pharmacy group needed a more consistent way to conduct proactive patient outreach for prescription refills while also managing a growing prior authorization workload.

Handling these functions internally would have required additional onshore staffing and increased operating costs.

The organization wanted to improve patient communication, support prescription continuity, and reduce administrative pressure on its pharmacy team.

CF Solution

A purpose-built operating model

CF created a dedicated outbound patient outreach team and provided prior authorization support to the pharmacy's onshore operation.

  • Conducted proactive refill outreach to patients
  • Supported prior authorization submissions and follow-up
  • Tracked authorization status and escalated issues when needed
  • Helped maintain consistent communication around prescription needs
  • Expanded support capacity across multiple pharmacy locations

By moving these administrative workflows to a dedicated CF team, the pharmacy group gained additional capacity without having to build a comparable onshore operation.

Results

Operational improvements delivered

  • More consistent refill outreach
  • Improved patient communication and follow-up
  • Greater support for prescription continuity
  • Reduced administrative burden on the onshore pharmacy team
  • Improved operational efficiency across multiple locations
  • Expanded support capacity at a substantially lower cost than an equivalent onshore team

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Operational view

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Authorization workflowLive visibility

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Workflow activity

Pending

Approved

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Managed Healthcare OperationsClient identity withheld

Utilization Management & Prior Authorization

A managed authorization and utilization operation improved visibility, supported continuity of care, and reduced administrative burden.

Fewer authorization-related interruptions
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Reimbursement protection
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