How does Lavender Sky Health e-consultation work?

I have been on Zepbound and paying out of pocket for that, just learned about the compound route and read so many reviews on Reddit about Lavender Sky Health. Went and filled out the questionnaire and now, they sent me an invoice for $65 (e-consultation). Does that mean I was approved?
Was wondering how that will work, I will go ahead and pay that and how do they e-consult? If someone could please let me know the process I would really appreciate it.