Prior authorization is the process of obtaining pre-approval from insurance companies before specific procedures, treatments, or medications can be provided. When authorizations are not obtained, or are obtained incorrectly, claims are denied outright, leaving your practice without payment for services already rendered.
Our prior authorization team manages the complete authorization lifecycle, from identifying which services require pre-approval through gathering clinical documentation, submitting requests to payers, tracking status, and communicating approvals to your clinical team. We handle authorizations for procedures, imaging studies, specialist referrals, and medications.
The prior authorization process is one of the most frustrating administrative tasks in healthcare, consuming significant staff time and frequently delaying patient care. By outsourcing this function to our dedicated team, your staff can focus on patients while we ensure that every required authorization is obtained before services are scheduled.
Patient care delays caused by slow authorization turnaround
Claim denials from missing or incomplete prior authorizations
Staff overwhelmed by high authorization request volume
Difficulty tracking authorization status across multiple payers
Expired authorizations requiring re-submission and causing rescheduling
Inconsistent knowledge of payer-specific authorization requirements
Identification of services requiring prior authorization
Clinical documentation gathering and preparation
Authorization request submission to the appropriate payer
Real-time status tracking and proactive follow-up
Peer-to-peer review coordination when needed
Approval documentation and communication to clinical team
Authorization expiration monitoring and renewal
Urgent and expedited authorization handling
95%+ authorization approval rate on initial submission
Significant reduction in care delays from pending authorizations
Fewer authorization-related claim denials
Complete visibility into authorization status for all patients
Dedicated authorization team with payer-specific expertise
Urgent authorization processing when clinically indicated
Reduced administrative burden on your clinical staff
Rapid turnaround with same-day submission for urgent cases
Deep expertise with payer-specific authorization policies
Proactive status tracking preventing surprises
Complete authorization lifecycle management
Dedicated team reducing your staff's administrative load
Schedule a free consultation for this service.
Every practice is unique. Let us build a tailored plan for your specific needs.
Get Free Practice AuditSchedule a free practice audit and discover how much revenue you could be recovering.
