Prior Authorization
Important but time consuming. We can help!
Prior authorization and/or pre-certification is a health plan cost control process by which physicians and other health care providers must obtain advance approval from a health plan before a specific service is delivered to the patient to qualify for payment coverage. Obtaining prior authorization can be sometimes challenging and time consuming. In a survey, AMA reported a staggering 86% of providers felt that the mechanics of administering prior authorization processing is a burden, 91% felt that it caused patient care delays and 82% reported that the number of prior authorizations required for medical services increased over the last 5 years. We provide you with complete coverage of your prior authorization requests with a 99+% accuracy and 99.5% adherence to turnaround times. No more auth requests getting kicked back to you due to lack of information. We take care of it for you.
Our specialized prior authorization personel helps you:
- Save time and avoid the inconveniences of dealing with payers.
- Allow employees to concentrate on their primary responsibilities.
- Prior auth submission and follow up.
- Appeal on prior auth denials.
- Accurate charting of prior auth number, date range, CPT & provider in the EMR system.
- Get updates on prior auth requirements.