User management
RXNT supports user syncing with SCIM-compliant identity providers to handle user creation and deactivation. All users will be created in RXNT with staff-level '0' access, which means they have no chart access. The practice administrator must log in to RXNT to assign location access and complete the setup for providers and staff.
Staff users
From the Location and Staff Management tab, click the User tab and view existing staff users. To edit a user, click their name. A window appears to the right, displaying the user's information under the General tab.
To add locations to the user, click the Location(s) tab.
From the Locations tab, click the three vertical dots, then click Edit.
Click +Link Location.
Choose the Location, Level, Writing As (Supervising Physician), and Security Groups, then click Save.
The following user access levels are available:
Admin Staff (Level 0: No Prescribing)
Not recommended for Renvio users.
Users with this access level can:
- Run reports
- Update patient demographics
- Add new patients
Admin Staff users cannot create or send prescriptions.
Clinical Staff (Level 1: Approval Required)
In addition to all Admin Staff capabilities, users with this access level can:
- Create prescriptions on behalf of a provider
- Save prescriptions as Pending for provider review and approval
Clinical Staff cannot send prescriptions directly to the pharmacy.
Mid-Level Staff (Level 2: Agent)
Users with this access level have all the capabilities of Admin Staff and Clinical Staff. In addition, they can:
- Send non-controlled prescriptions directly to the pharmacy on behalf of a provider
Mid-Level Staff cannot send controlled substance prescriptions unless permitted by applicable regulations and system configuration.
Click here for more information on managing staff users and locations.
Providers
Click the +Provider button in the upper right corner.
Select the option to Choose from a list of existing users.
Click on the name of the user, then click Select at the bottom.
The first name, last name, email address, and cell phone number will pre-populate and cannot be changed.
Next, enter the provider's medical details. Available specialties are from the Health Care Provider Taxonomy Code Set. Include the correct individual NPI for the provider to prevent prescription and/or claim errors. NPI numbers are verified using the CMS NPI Registry.
Set location(s)
If RXNT has multiple locations on file for your organization, select the provider's location(s) from the dropdown list. If your practice only has one location, this section will not display.
You can remove a location added by mistake by clicking the X next to the location name.
Assign products
Click the +Products button to assign products to the provider.
In the popup that opens, all subscriptions will be displayed along with the products within each subscription. The number of available licenses for the product will be displayed.
Using the checkboxes, select the products and plan needed for the provider.
Click Add to link the provider to the products.
The products added will be displayed on the screen, along with the subscription name and renewal date. If you accidentally select a product, use the Remove button.
Add DEA details (required for EPCS)
If the provider is linked to either the Electronic Prescribing (eRx) product, the DEA Details section will display.
The DEA Number is only required if the provider is linked to the EPCS product.
A copy of the provider’s DEA certificate is required for verification purposes. Click Upload to upload a copy of the provider’s DEA certificate.
If the provider prescribes under an institutional DEA number, toggle to Institutional. Enter the institutional DEA number and the provider’s unique code.
Customize locations
If more than one practice location was chosen for the provider, you can customize the provider details for each location. Click the menu icon to view options Edit and View. Click Edit to complete the information.
Complete all fields. If a different DEA number is entered for a location, be sure to upload the corresponding DEA certificate.
When complete, click Save.
Prescription details
There are two types of provider accounts available. The correct provider account type is chosen during enrollment in the Prescription Details section, according to each provider's state and licensure rules. The customer must select Yes or No to Does this provider require a supervising physician to display on their prescriptions?
- If Yes: The provider's account will be set to "Doctor (AuthorizationRequired)".
- If No: The provider’s account will be set to "Doctor (FullyAuthorized)".
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Doctor (AuthorizationRequired)
The provider with this access can send prescriptions under their own credentials, but state regulations or their medical license require that a supervising physician’s name and credentials also appear on the prescription. In this case, they must work under a supervising physician who holds a ‘Doctor (FullyAuthorized)’ designation.” -
Doctor (FullyAuthorized)
Providers with this access are able to send prescriptions using their own credentials without needing a supervisor. They can also act as a supervising provider for providers with the 'Doctor (AuthorizationRequired)' account type.
Pharmacy requests make it easy for your patient’s pharmacist to ask for prescription changes, renewals, or prior authorizations with just a click. Replying to these requests directly through RXNT helps providers communicate more efficiently with your patients’ preferred pharmacies. Click here to learn more!
A provider signature is required for the ERX product. You can download a signature form by clicking on the signature form link.
Upload an image of the provider's signature using the Upload button.
Assign roles
The practice administrator role, the billing contact role, or both can be assigned to the provider if needed. Assign a role to a provider using the dropdown list.
Practice Admin
Allows the provider to add staff users to the system, enroll other providers, and assign additional practice administrators.
Billing Contact
Allows the provider to manage the practice’s subscriptions, licenses, and payment methods. Billing contacts also receive notifications for pending invoices and can view and pay invoices directly from the RXNT dashboard.
If you accidentally added a role, remove it by clicking on the X.
Submit enrollment
The Submit button will save all information entered on this page and display the provider on the provider dashboard. If any information requires verification, the RXNT team will review and verify the details.
If any required information is missing from the provider, you will be alerted after clicking Submit. Click the missing item to jump to that section of the provider details.
The provider may appear on the dashboard with a status of Processing while the system is working on saving the provider's information. This should only take a few seconds. You won’t be able to view the details of providers that are still processing, but you can add other providers.
Sync to Renvio
Although user and location data syncs automatically from RXNT to Renvio each day, you can manually trigger the synchronization if a new entry is needed immediately. To execute a manual sync prior to the scheduled daily update, access the RXNT Mapping screen within Renvio.
From the main dashboard in Renvio, navigate to the RXNT Mapping screen. Click Download/Map Locations to sync any new locations from RXNT to Renvio.
All locations will display and indicate their mapping status. To sync an unmapped location to Renvio, select the Renvio facility from the dropdown menu and click Save.
Click Download/Map Doctors to sync any new users from RXNT to Renvio.
All users will display and indicate their mapping status. To sync an unmapped user to Renvio, select the Renvio user from the dropdown menu and click Save.
ID proofing
Identity proofing is done via ID.me and must be completed by all providers that have access to the RXNT eRx product.
If you need assistance with any portion of the ID.me verification, reach out to ID.me for assistance.
Log in to RXNT by navigating to https://auth.rxnt.com/auth/login and entering your username, then click Continue.
Click Sign in with Microsoft.
Click Complete your ID verification within the blue banner at the top of the screen.
This should be completed on a desktop computer.
Click Verify with ID.me.
If you already have an ID.me account, sign in with your existing account. Otherwise, click Create an ID.me account. Learn more about creating an ID.me account.
Complete multi-factor authentication (MFA) with ID.me.
Next, select to upload your driver's license, passport, or passport card.
Consent to ID.me collecting your personal information by checking the box.
Enter your cell phone number to take a picture of your document and to take a selfie.
A text will be sent to your phone with a link to take a picture of your document.
After tapping the link on your phone, tap Start document upload.
Tap the area of the screen to take photos of the front and back of the document.
Click Submit your photos.
You'll then be prompted to take a video selfie. Once complete, return to the desktop screen and enter your social security number.
RXNT does not store social security numbers.
Next, ID.me will verify your medical information. Click, Begin.
Enter your NPI and DEA number. More than one DEA number can be entered if necessary, or an institutional DEA number can be entered.
Finally, authorize ID.me to send your verified information to RXNT by clicking Allow.
The screen will automatically refresh back to RXNT. Learn more about identity verification with ID.me.
Writing a prescription
To write a prescription, users launch from Renvio to RXNT. Click Patient from the left-side menu, then select E-Prescription, then E-Prescription again.
You will land on the patient's record in RXNT.
Selecting a medication
To search for a medication, type the drug name into the Write Rx text box above the medication list, then click Search. After searching for the drug, the system will list all medications and strengths that match the search criteria.
If the PBM is available for the patient, the formulary information will be displayed to the left of the medication. Click here to learn more about the formulary key.
You can also select a medication from your Favorites list. From there, you can simply click on your drug of choice. Click here to learn how to favorite medications!
Once a selection has been made, the system will perform an interaction check. Interactions will be indicated if applicable. If an interaction is found and a new medication must be selected, use the Alternatives section to select an alternative medication. When needed, the Reference tab will provide further information on the selected medication.
Once you've selected the medication, add your prescription details by choosing from an existing Custom Sig, if applicable, a Recommended Sig, or select Sig Builder to create a new sig.
Prescription edit
Enter the dosage, quantity, and units for the medication. All other fields are optional.
Once the script details have been entered, either select Add Drug to add another prescription for the same patient or select Continue to go to the pharmacy search.
Pharmacy search
Search for a pharmacy using any of the search fields listed. Click on the name of the pharmacy to select it.
To add a pharmacy to your favorites, select the box to the right of the pharmacy name and click Add to My Favorite. The system will automatically remember where the script has been sent for the patient, and this will be saved under the Patient Favorite Pharmacies tab.
Prescription preview
Real-Time Prescription Benefits
RTPB information will be displayed to the right of each medication on the prescription preview screen. Click on the Real-Time Prescription Benefit section to expand it and view the details.
The selected medication will be displayed first. The information displayed may include pricing for retail and mail-order pharmacies; 30, 60, and 90 days supply; as well as pricing for alternative medications. Alternative medications will be displayed below the medication prescribed.
Save or send the prescription
On the prescription preview screen, you'll be prompted again if there are any interactions for the medication. You'll also have the option to edit the pharmacy, patient demographics, or prescription details before sending it.
Click Send when the prescription is complete.
Once a prescription has been sent, the prescription details is synchronized back to the Renvio system.
Patient dashboard
The patient's current medications and diagnoses recorded in Renvio will be sent to RXNT so that the interaction check can be completed during the prescription writing process.
Only medications that are active in Renvio and have an NDC will be sent to the RXNT current medication list.
Allergies are not included in the integration. Patient allergies must be added directly into RXNT in order to be included in the interaction check.
Current
Only medications that are active in Renvio and have an NDC will be sent to the RXNT current medication list.
The Current tab reflects medications that the patient is currently taking. New prescriptions will be recorded here.
Previous
New prescriptions are also recorded in the Previous tab. The Previous tab contains a list of all medications prescribed in RXNT by your practice. Prescriptions will be listed in chronological order. The blue highlight indicates active medications that the patient is currently taking. Items in white are medications the patient is no longer taking. Prescriptions in gray have been discharged or canceled at the pharmacy. From the Previous tab, you can refill medications that were previously prescribed in RXNT.
PBM /formulary history
RXNT will perform a real-time eligibility check through Surescripts when the patient is selected in RXNT. The patient’s demographics are used to check the master patient index with Surescripts to identify their PBM / Formulary information. If there is a match on the patient’s demographics, the patient’s pharmacy benefits manager (PBM) will be displayed. If this is your first time accessing a patient’s medication history, you are required to acknowledge that you have the patient’s consent to access the medication history. Click Accept to acknowledge that you agree to the terms and conditions of the HIPAA Patient Consent Agreement.
Once accepted, you will have the ability to review the history for up to the previous year. History can be utilized to manage the Current tab, as well as to generate refills for medications prescribed by other physicians. You can toggle between Claims History and Fill Data. Claims History is sourced from the PBM and Fill Data pulls information from pharmacies.
Voided prescriptions
All voided prescriptions for this patient will be listed within the Voided tab.
Allergies
Allergies are not included in the integration. Patient allergies must be added directly into RXNT in order to be included in the interaction check.
Document allergies or document No Known Drug Allergies in the Allergy tab. When a new prescription is generated in RXNT, the system will perform a real-time drug allergy interaction check based on your entries.
Problems
To include a diagnosis on a prescription, it must first be added to the patient dashboard.
Notes
Click the Notes tab to add a note to the patient's chart. These are internal notes and are not visible to the pharmacy.
PMP/PDMP
To view a patient's PMP/PDMP report, first ensure that the integration for your RXNT account is set up. Click here to learn more about PMP/PDMP Connectivity. Once your integration is complete, all provider accounts with the appropriate role will be able to view the PMP/PDMP scores and reports from the Patient Dashboard.
To see the detailed PMP/PDMP report, click Report.
Patient favorite pharmacies
Pharmacies can be added to the patient’s favorite list outside of the e-prescribing workflow by clicking on the patient’s name and navigating to the Favorite Pharmacies tab.
Click Add Pharmacy.
Search for the pharmacy using the search fields listed. Select the pharmacy by checking the box next to it, then click Add Selected.
Prescription dashboard
When a provider has pending prescriptions or refill renewal requests from pharmacies, a notification is displayed in the Renvio system. On the main dashboard, a hyperlink appears in the upper-right corner showing the total number of pending prescription-related requests for the provider. Click the hyperlink to launch RXNT, where you can review and process the pending prescriptions or pharmacy renewal requests.
Prescriptions on the dashboard are displayed based on the location. To see prescriptions from other locations, click the orange location icon to reveal a dropdown menu listing all provider locations. Select the intended location to make the switch.
Pending
The Pending list are prescriptions that have been set up but not yet sent to the pharmacy. These may be prescriptions that a provider saved for later or a staff user set up on behalf of the provider and needs approval.
To send any pending prescriptions below, click the checkbox below the patient's name, highlighting the prescription in blue. Click Approve. Another window will open to confirm the medications you are approving.
Pharmacy requests
Click here for more information on Pharmacy Requests!
Recent
The Recent tab displays the 75 most recent prescriptions sent from your practice.
A confirmation message will be displayed in green when the prescription has been sent successfully. Yellow will indicate that it is in the process of being transmitted, and red indicates that the prescription did not go through. Additional information will be given if the prescription is highlighted in red.
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