The Prior Authorization Challenge
Prior authorizations are one of the biggest administrative burdens in healthcare. Studies show that the average practice spends 34 hours per week on prior authorizations, leading to delayed care, frustrated patients, and burned-out staff. We eliminate this burden entirely.
Our Authorization Services
- Prior authorization initiation and submission for all payers
- Real-time authorization status tracking and updates
- Peer-to-peer review scheduling and preparation
- Authorization appeals for initial denials
- Referral authorization management
- Medication prior authorization (PA) processing
- DME and surgical pre-authorization
- Retro-authorization recovery for missed authorizations
- Insurance benefits verification and eligibility checks
Our Streamlined Process
When your provider determines a service requires authorization, our team immediately takes action. We verify the patient's insurance requirements, compile all necessary clinical documentation, and submit the authorization request through the appropriate channel — whether electronic, fax, or phone.
We proactively follow up on every pending authorization and immediately notify your team of approvals, denials, or additional information requests. For any denials, our appeals specialists step in with comprehensive clinical documentation to overturn the decision.
Key Benefits
- 95%+ prior authorization approval rate
- Average turnaround time of 24-48 hours
- 34+ hours saved per week in staff time
- Reduced treatment delays for patients
- Complete audit trail and compliance documentation
- Real-time status updates via portal or direct communication