What We Do
- Authorization Requirement Identification
- Authorization Submission & Tracking
Prior Authorization Support
Prior authorization is a critical step for many procedures and services, and delays at this stage can impact both patient care and reimbursement. Missing or incorrect authorizations are also a common cause of claim denials. Our services help healthcare organizations manage authorization requirements with clarity and consistency.
We follow a process-driven approach to identify authorization needs, prepare supporting documentation, and track payer responses. By managing authorizations proactively, we help reduce downstream rework and support smoother billing and claim submission.
Prior Authorization Services
Identification of procedures and services requiring prior authorization.
Preparation and organization of documentation required to support medical necessity.
Submission of authorization requests in line with payer formats and timelines.
Ongoing follow-up to address payer questions and additional information requests.
Monitoring authorization status to support timely approvals.
Documentation of approved authorizations for accurate billing and claim submission.
Reach out to learn more about our prior authorization services.
Prior Authorization Process
We follow a structured prior authorization process to identify approval requirements, prepare supporting documentation, and track payer responses. By managing authorizations proactively and documenting approvals accurately, we help reduce treatment delays, prevent authorization-related denials, and support smoother revenue cycle workflows.
Authorization Requirement Review
Identifying services that require approval
Documentation Preparation
Supporting medical necessity and payer criteria
Authorization Submission & Follow-up
Managing payer communication and status tracking
Authorization Confirmation & Handoff
Supporting billing readiness
Our Expertise
Our expertise in prior authorization lies in navigating payer-specific rules, documentation standards, and approval workflows. By focusing on accuracy, timely follow-up, and clear documentation, we help reduce authorization-related denials and support continuity of care and reimbursement.