On-demand webinar: Beyond prior authorization: Ensuring accuracy of specialty drug claims

Specialty drugs comprise a complex, high-stakes area of claim processing for health plans. These medications are often injectable drugs administered by a provider and are used to treat chronic, complex diseases. And specialty drugs are notoriously expensive and inherently complex, as are the processes for their corresponding claims.

Their complexity and expense make specialty drug claims especially prone to inaccurate billing, or worse, fraud and abuse. And while many plans use prior authorization to handle these claims, relying solely on this process can result in limited details that can leave plans open to inappropriate claims.  

Watch our on-demand webinar, as we walk through solving the complex challenges of specialty drug claims. You'll gain a better understanding of:

  • The latest trends in specialty drug spending
  • Common areas of claim errors, waste, abuse, and fraud
  • Concepts to improve claim accuracy and reduce patterns of fraud and abuse

Watch the webinar


Jonathan Starr, PharmD
As a senior consultant, Jonathan supports Cotiviti’s vast library of Drugs and Biologicals payment policies and aids in presenting these policies to clients. He fills the important role of bridging the gap between client teams and researchers developing Cotiviti’s D&B policies. Jonathan has also managed and operated Cotiviti’s pharmacy fraud, waste, and abuse product since 2016. Prior to joining the D&B team, he worked as a retail pharmacy manager for over 12 years and has been a licensed pharmacist for 13 years.

Read More


Specialty drugs: Why go beyond prior authorization?

Jonathan Starr, PharmD

Mar 23, 2022

Connect with our experts