Medmonk
Single-Point Referral Intake via Hub
Prescriber Sends Referral
Prescriber Portal
Web-based
Hub (Phone & Fax)
Direct intake
Medmonk
Branded Hub · All channels unified
Electronic &/or Manual BI
Benefits Investigation
Provider Pinged
New patient & status updates on portal
Welcome Call
Within 4–6 hours
Send Opt-In Text
Real-time patient consent SMS
IF Not
Support call after
24hr, 48hr, 72hr
Automated PA Initiation
Auto-generated LMN based on DX & payor guidelines. No manual drafting.
Unique Link to Prescriber
For review & approval, then electronically submitted to primary payor
IF Not Approved
PA follow-up for status or appeal
Patient Packet Uploaded
On provider portal
Manufacturer Portal
Real-time analytics: BI, PA, dispensing, refills, prescribers, copay
Pharmacy Copay Claim
NCPDP Secondary Payor
Provider processes to Medmonk as secondary payor via NCPDP in <3 seconds
Medical Copay Claim
Provider uploads EOB or receives 835 via clearing house
Auto 835
Via clearing house
Real-Time Analytics
Timestamps: BI, PA, dispensing, refills, prescribers, copay
Process ACH Payments
Post remittance on provider portal
*All portals branded to manufacturer · *Provider represents Specialty Pharmacy and Buy & Bill Facilities