Refills prepared.
Clinician signed.
RescriptMD reads every prescription refill request, checks it against your practice's own protocol, and hands the prescriber a ready-to-sign queue inside the EHR. It never prescribes. A licensed clinician signs every one.
The refill inbox is where the day goes
Requests arrive by e-renewal, fax, phone, voicemail and portal. Staff check five places, look up the same chart facts every time, and the prescriber re-checks it all before signing, often after hours. RescriptMD does the looking-up once, the same way every time.
One queue for every channel
E-renewals, faxes, voicemails and portal messages land in one list. Duplicates are linked at intake so one request gets one answer.
Your protocol, applied every time
Last visit, labs due, drug-class rules and refill gap, checked by deterministic rules your medical director owns and can edit. The basis is shown on every item.
A human signs every prescription
Ready items are batch-signed in the EHR by the prescriber. Anything unverified, controlled, or unusual goes to a person with the reason attached. Nothing defaults to approve.
Seven steps today become four
Language models read the messy inputs; rules make the clinical call; the prescriber signs.
Intake
Faxes, voicemails and messages are read into a structured request. A second model checks every field before anything moves on.
Match
Patient and active order are matched in the chart; duplicates across channels are linked; ambiguity goes to staff.
Protocol check
The rules engine applies the practice's signed protocol and returns a disposition: ready to sign, needs labs or visit, or escalate.
Sign and follow up
The prescriber signs in the EHR. Pharmacy confirmations and patient messages are drafted for staff to review and send.
Built for athenaOne first
RescriptMD reads the renewal queue and the chart through the athenahealth partner API, runs in shadow mode first (read-only, every recommendation logged against what staff decided), then writes a staged recommendation with its reasons back to the provider's queue. The prescriber signs in place; the prescription travels EHR to network to pharmacy exactly as it does today.
- No new login for prescribers; the queue is the athenaOne queue.
- One write only: a staged recommendation. Never a prescription, cancellation or change.
- Controlled substances are routed to the clinician untouched.
- Every transition logged with actor, facts used, and protocol version.
Security and compliance
Designed as a HIPAA business associate from the first line of code. These are commitments, not marketing.
Protected health information
Business associate agreements with every practice and every vendor that touches PHI, including the AI model provider. Encryption in transit and at rest, least-privilege access, access logging. No patient data is used to train models.
Clinical safety
Clinical decisions come from deterministic rules the practice owns, not from a language model. Fail closed: a missing fact, timeout or error means escalate, never ready to sign. Time-sensitive medications are flagged and never wait silently.
Scope
Non-controlled maintenance medications only. No new prescriptions, dose changes or substitutions. No autonomous approval. No automated messages to patients or pharmacies; staff send every one.
Audit and oversight
An append-only event stream per practice; any decision can be replayed. Medical directors receive sign-rate and time-per-item reports. A named clinical lead can halt the pipeline at any time.
Refills eating your day?
RescriptMD is in development with a pilot practice in Colorado. If you run a primary care group on athenaOne, we would like to talk.