Services/Front Office Support
Prior Authorization
Authorizations tracked and submitted so procedures don't get delayed or denied.
The problem
Missed or delayed prior authorizations can postpone patient care and result in denied claims — even when the service itself was medically appropriate.
How we solve it
We identify authorization requirements up front, prepare and submit supporting documentation, and track every request to resolution — including coordinating peer-to-peer reviews when needed — so care isn't delayed and claims aren't denied for a missed authorization.
Our process
- 1
Requirement check
Payer policy is checked to confirm whether authorization is required.
- 2
Submission
Clinical documentation is prepared and the request is submitted.
- 3
Active tracking
Pending requests are followed up until a determination is received.
- 4
Documentation handoff
Approved authorization numbers are logged for clean claim submission.
What's included
- Payer-specific authorization requirement research
- Clinical documentation preparation for submission
- Authorization status tracking and follow-up
- Peer-to-peer review scheduling support
- Expedited/urgent request handling
- Authorization number documentation for billing
Benefits & results
Fewer authorization denials
Requests are tracked to completion, not submitted and forgotten.
Less care delay
Proactive follow-up shortens time to approval.
Clean billing data
Authorization numbers are documented correctly for claims.
Prior Authorization FAQ
Ready to reduce denials and grow revenue?
Start with a free billing audit — no obligation, no long-term contract required.