No Authorization Gaps. No Last-Minute Denials.
Verification, submission, tracking, and PA appeals, all handled before a single claim is touched.
What We Do
Every step of the process, covered from start to finish.
Real-time check at scheduling to confirm whether a PA is required before the patient arrives.
Authorization requests submitted the same day they're identified, with no waiting.
We check PA status every day until a decision is received, so no authorization gets lost in limbo.
Authorization number verified and attached to every claim before submission. Nothing is billed without authorization.
Emergency services rendered without prior auth? We pursue retroactive authorization on your behalf.
Denied prior auths are appealed immediately with clinical documentation, and peer-to-peer reviews are coordinated.
Process
PA requirement flagged at scheduling, with the patient visit, procedure, and payer cross-checked instantly.
PA request submitted same day with all required clinical documentation.
Daily status checks with the payer until approval or denial is received.
Approval confirmed and auth number attached to the claim. Billing proceeds only with active authorization.
Why It Matters
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.
Common Questions
Straight answers to what practices ask us most about Prior Authorization.
We maintain an up-to-date payer-specific PA requirement database and verify requirements in real time for each payer, CPT code, and diagnosis combination. PA requirements change frequently, and we track those changes so you don't have to.
Get a free audit that shows exactly where your practice is losing revenue. We respond within 24 hours with clear data, not a sales pitch.