The SimpleHealth provider review usually finishes in 4–24 hours during business hours, now managed by Twentyeight Health.
If you signed up through the former SimpleHealth service and are now routed through Twentyeight Health, you’re likely wondering how fast a clinician approves your intake. Below, you’ll see exact windows, what speeds things up, what slows them down, and a step-by-step plan to get care without extra back-and-forth.
Simplehealth Medical Review Timeframe: What To Expect
Twentyeight Health states that most prescriptions are sent within 24 hours, and many are ready for a local pharmacy in about 4–6 hours during weekday hours. Requests that land after the daily cutoff roll into the next business day. That’s the baseline for former SimpleHealth patients as well because Twentyeight Health is now the telemedicine provider handling these reviews.
What The Clinician Checks
During the review, a licensed provider reads your intake, confirms your medication history, screens for red flags, and may request a recent blood pressure reading. If a switch of method, new symptoms, or missing data appear, the provider may message you for details, which adds some time.
Table: Typical Turnaround By Request Type
| Request Type | Average Review Window | Notes |
|---|---|---|
| New birth control consult | 4–24 hours | Weekdays within clinic hours; many clear in 4–6 hours |
| Refill, no changes | Same day | Fastest when history is complete and BP is current |
| After 8:00 PM ET request | Next business day | Queued for morning review |
| Prior authorization needed | 1–7+ days | Varies by plan and medication |
| Pharmacy pickup vs. mail delivery | Same review speed | Mail adds shipping time once approved |
Why Timelines Changed Since The Simplehealth Transition
In April 2023, SimpleHealth transferred patient records to Twentyeight Health, which now provides the clinical review and messaging. That transfer did not slow approvals; the current service publishes clear windows and a same-day path for pharmacy pickup in many areas. If you live in a state where Twentyeight Health isn’t active, they still hold your records and can help route a script to a local pharmacy through standard channels.
What Speeds Things Up
Business Hours And Cutoffs
Requests sent between 8:00 AM and 8:00 PM Eastern, Monday through Friday, move fastest because that’s when the care team is live. Send your intake during this window whenever you can.
Complete Intake, No Gaps
Answer every intake question, list current meds, and supply a recent blood pressure. If you don’t have a monitor, many pharmacies and clinics can provide a reading quickly. Clear data lets the provider approve without follow-up messages.
Flexible Medication Choice
Picking a widely stocked brand or a generic that matches your history can help.
Choosing Pharmacy Pickup When Time Matters
Pharmacy pickup often beats mail by several days.
What Can Slow The Review
After-Hours Submissions
Requests sent late evening or on weekends wait for the next staffed window.
Missing Data Or New Symptoms
If the provider needs clarity on migraines, smoking, postpartum status, or other risk factors, they’ll message you inside the portal. Fast replies keep your place in the queue, but back-and-forth adds time.
Insurance Steps Like Prior Authorization
Some plans ask for prior authorization on certain brands or delivery methods. Standard cases finish in a few days, while tougher cases can take longer. If speed is the goal, ask your provider about an equivalent option that skips this step.
Step-By-Step: Fastest Path From Intake To Medication
- Start during weekday hours. Aim for morning or early afternoon in Eastern time.
- Complete the questionnaire in one sitting. Keep your medication list, allergies, and BP reading handy.
- Pick a ready-to-fill option. Choose pharmacy pickup if timing is tight.
- Watch your inbox and portal. If the provider asks a follow-up, answer right away.
- Have a backup brand in mind. If stock is short, an equivalent generic or brand variant can save days.
- Ask about PA-free options. If your plan requires prior auth for one product, a clinically similar option may not.
End-To-End Timing: From Click To First Dose
Here’s how the full timeline usually plays out when speed is the goal.
Same-Day Pharmacy Pickup
Submit in the morning on a weekday. Many reviews clear within 4–6 hours. Your script heads to the pharmacy that afternoon. If the store has stock, you can start that night.
Mail Delivery
Provider review still runs 4–24 hours during clinic hours. Shipping adds a few days once the script is on the way.
Table: Example Timelines You Can Expect
| Scenario | Provider Review | First Dose |
|---|---|---|
| Weekday morning, pharmacy pickup | 4–6 hours | Same evening (if in stock) |
| Weekday afternoon, mail delivery | Same day | 3–5 days after ship |
| After 8:00 PM ET request | Next business day | That day (pickup) or later (mail) |
| Plan requires prior authorization | 1–7+ days | After plan approval |
How To Tell If Your Case Needs Extra Time
Three things hint that your chart may need a longer look: a method change after side effects, a new medical condition that affects contraception choice, or a missing blood pressure. None of these block care, but they do prompt a quick message thread with the provider.
What To Do If You’re Stuck In “Provider Review”
Check Messages
Open your dashboard to confirm there isn’t a question waiting.
Send A Short Update
If your symptoms changed or you picked a different pickup location, send a note in the portal.
Ask For A Bridge Supply
If you’re due to start, ask the provider about a short bridge supply at a local pharmacy while longer steps like insurance paperwork finish.
Safety And Privacy Basics
Use your own account, not a shared email. Turn on two-factor if offered. When entering health info in a public place, wait until you’re on a private connection. Read the label that comes with the package. If you notice side effects—new headaches with aura, chest pain, or leg swelling—seek care right away.
Sources And Live Policies
Twentyeight Health publishes clear timing for prescription sending and clinic hours. Check the FAQ page for current windows, including the common 4–6 hour pharmacy path and the 24-hour send window. The former SimpleHealth service transferred patient records to Twentyeight Health in 2023; the handoff details and state coverage appear on the Simple Health FAQ.
Common Timing Situations
Weekend requests usually wait for the next staffed window. If you need to start on a Saturday or Sunday, submitting on Friday morning with pharmacy pickup is a good plan. Shipping adds transit days after approval; it doesn’t change the clinician’s decision time. If your plan asks for extra paperwork, uploading cards or past approvals can shave days off that step.
Living Outside Service States
If Twentyeight Health isn’t active in your state, they still act as custodian of the records that moved from SimpleHealth. You can ask to transfer a script to a local pharmacy, or request a copy of your records for a new clinic. This doesn’t change the review time rules for states they do serve, but it affects where the prescription lands.
Cost And Insurance Notes That Affect Speed
Clinic review speed isn’t tied to your copay, but payment details can slow fulfillment if a card is outdated or a plan needs a signature. Update your account before you submit the intake. If a brand is blocked by your plan, a same-class option can avoid prior authorization and keep your start date on track.