Requirement checks
Whether the service needs authorization for that patient's plan, checked before scheduling.
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Prior Authorization
Prior authorizations submitted, tracked and followed up to a decision, so procedures, imaging, medications and therapy visits are approved before they happen.
Get a free consultation$0 to start$15 per completed authorization
A missing or expired authorization is one of the few denials that usually can't be fixed after the fact. Getting authorizations right protects both your revenue and your patients' access to care.
We check each payer's requirements, gather the clinical documentation, submit through the payer's portal or benefit manager, and follow up until there is a decision.
What's included
Submission
Requests submitted with the clinical notes and codes the payer or benefit manager requires.
Status follow-up
Pending requests chased daily so appointments aren't cancelled at the last minute.
Peer-to-peer coordination
Scheduling and preparation when a payer requires the provider to discuss the case.
Visit and date tracking
Authorized visit counts and expiration dates tracked, with renewals started early.
Denial appeals
Appeals prepared when an authorization is denied and should be approved.
Price
$15 per completed authorization
$0 to start
Nothing to sign up. You pay only for completed work. How payment works
Who it's for
Specialties with frequent procedures, imaging, specialty medications or therapy visit limits.
How it works
Free billing review
We look at a sample of recent claims, denials and aging A/R to see where money is leaking.
Setup
We connect to your EHR or practice management system, payer portals and clearinghouse.
Daily work
Claims, posting, denials and follow-up run every business day with no backlog.
Monthly report
You get collections, denial rate, days in A/R and what we changed.
Hire it alone or as part of a package
Prior Authorization is available on its own, and it is also included in Precision Claim Management. See all packages on our pricing page.
Specialties we provide prior authorization for
We work with practices of every specialty. These pages explain what is different about yours:
Internal MedicineWomen's Health & OB/GYNCardiologyPhysical Therapy & RehabilitationPain ManagementOrthopedics & Sports MedicineGastroenterologyEndocrinology & Diabetes Care
See every specialty and provider type →
Prior Authorization FAQs
Which authorizations do you handle?
Procedures, imaging, specialty and brand medications, behavioral health and therapy visits, DME and referrals for HMO plans.
How fast are authorizations approved?
It depends on the payer. Some approve online in minutes, others take several business days. Urgent requests can be expedited.
Can you work in my EHR's authorization module?
Yes, we document authorization numbers and dates where your team and billing can see them.
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Ready to talk about prior authorization?
Book a free 30-minute consultation. We'll review your practice and tell you where to start.