Prior Authorization
No Authorization Gaps. No Last-Minute Denials.
We handle the entire prior authorization workflow — from requirement verification to same-day submission, status tracking, and denied PA appeals — before a single claim is touched.
What We Do
Everything Included in Prior Authorization
Complete coverage of every step — nothing falls through the cracks.
PA Requirement Verification
Real-time check at scheduling — we confirm whether a PA is required before the patient arrives.
Same-Day PA Submission
Authorization requests submitted the same day they're identified — no waiting.
Daily Status Tracking
We check PA status every day until a decision is received — no authorization lost in limbo.
Auth-to-Claim Matching
Authorization number verified and attached to every claim before submission — no billing without auth.
Retroactive PA Requests
Emergency services rendered without prior auth? We pursue retroactive authorization on your behalf.
PA Denial Appeals
Denied prior auths are appealed immediately with clinical documentation — peer-to-peer reviews coordinated.
Process
How It Works
Identify
PA requirement flagged at scheduling — patient visit, procedure, and payer cross-checked instantly.
Submit
PA request submitted same day with all required clinical documentation.
Track
Daily status checks with the payer until approval or denial is received.
Confirm
Approval confirmed, auth number attached to claim — billing proceeds only with active authorization.
Why It Matters
No Authorization Gaps. No Last-Minute Denials.
Insurers now require prior authorization for 40% more procedures than five years ago — and a single missing PA results in a full claim denial. Managing authorizations has become a full-time job most practices can't afford, and the cost of getting it wrong is catastrophic.
Ready to get started with Prior Authorization?
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