21+
Years of Experience
30%
Faster Authorization Processing
Decrease in Claim Denial Rates
Simplify Insurance Prior Authorizations!
Simplify your insurance authorization process with us. We specialize in insurance prior authorization services that reduce your administrative burden, mitigate delays, and support faster patient care delivery.
Benefits of Expert Insurance Authorization Services
Accelerate the approval process
Less delays in patient care
Minimize claim denials
Enhance financial health
Provide better patient experience
Reduce administrative costs
Who We Are
Experts Since 2002
Our insurance prior authorization company has been providing these services for more than two decades for all specialties, including:
We serve all 50 states
How are our Insurance Prior Authorization Services Priced?
We understand that every office is different and requirements for each office might differ. We want to be fair, flexible, and transparent with our pricing. Our prior authorization services have a few different ways it can be prices as below.
Full-Time Equivalent
We Can Work on Your EMR
Live and Experienced Authorization Team
We leverage payer-specific portals and processes, handle calls with the insurance companies when necessary, and coordinate promptly with your front-office/billing staff to seamlessly get things done.
Dedicated Communication Channels
- A dedicated authorization team and project manager
- Shared email threads, ticketing systems, or secure messaging
- Daily status updates and escalations as required
- Regular QA, audits, and performance reporting
Our Proven Insurance Authorization Workflow
1
Patient Demographics
Requesting Authorization
Verification & Eligiblity Check
Approval Confirmation
5
Documentation Preparation
Appeal When Needed
1
- Patient Demographics Collection
We promptly collate all essential information to initiate the authorization. - Verification & Eligibility Check
Diligently validate the patient’s insurance plan coverage and policy details. - Documentation Preparation
Ensure complete, compliant submission to payers by organizing records. - Requesting Authorization
Initiate process with the insurer through payer portals, fax, or direct phone call. - Approval Confirmation
Obtain and document approval or required additional steps. - Appeals (When Needed)
Process denials with a structured and efficient appeals process.
Why Choose Us?
Proven track record
Skilled in navigating payer-specific rules and denials
End-to-end insurance authorization services
Up to date with the latest insurance regulations
Improved revenue cycle support
Real-time reporting and performance reviews
No training or onboarding cost
Frequently Asked Questions (FAQs)
What is an insurance authorization?
What is the difference between insurance authorization and insurance verification?
Insurance verification confirms a patient’s insurance coverage, eligibility, and plan benefits. Meanwhile insurance authorization is about seeking approval from the insurance provider for specific treatment/procedure that requires prior consent before they can be performed.
What does it mean when insurance is authorized?
Who is responsible for obtaining preauthorization?
What types of medical procedures or services require authorization?
Many health plans require prior authorization for high-cost or specialized services such as:
- Advanced imaging (MRI, CT scans)
- Surgeries
- Specialty medications
- Durable medical equipment (DME)
- Behavioral health services
- Physical or occupational therapy
Do your services help reduce claim denials?
What is the typical time limit for an authorization request?
Do you manage authorizations for all insurance companies?
What happens if the insurance company denies the authorization request?
What kind of support do you offer during the authorization process?
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