Insurance Authorizations
Insurance authorizations—also known as prior authorizations or pre-certifications—are approvals required by insurance companies before certain medical services, procedures, or prescriptions can be provided.
Insurance authorizations are essential approvals required by insurance providers before specific medical services, procedures, or medications can be delivered. They ensure treatments are medically necessary and covered under payer policies. Our team manages the complete authorization lifecycle including submissions, follow-ups, eligibility verification, and appeals. By securing approvals in advance, we help prevent care delays, protect revenue, and ensure full compliance with insurance guidelines.
Service Features
- Prior authorization submission and payer follow-ups
- Pre-authorization for imaging, surgeries, medications, and special procedures
- Real-time eligibility and benefits verification
- Appeals and denial management support
- Documentation and communication with providers and patients
- HIPAA-compliant authorization processing
Key Benefits
- Faster patient care by preventing authorization delays
- Reduced claim denials and revenue loss
- Improved cash flow through quicker reimbursements
- Higher operational efficiency for clinical staff
- 24/7 HIPAA-compliant back-office support
- Better compliance with payer policies and documentation standards