Prior
Authorization
Prior
Authorization
Patient Insurance Verification
Includes all of the services described in Patient Insurance Verification as well as those that are listed below.
Procedure and Diagnosis Validation
As a service to you, our staff will implement an easy-to-follow process where the CPT and their respective ICD codes requiring authorization are collected and then validated before being submitted for an authorization.
Submission by Fax, Online, Or Phone Calls
Our staff selects the best possible way to submit an authorization request thereby ensuring a authorization prior to patient's visit.
Checking Status
Our in-house processing procedures provide for ongoing status checks following the initial submission. This is critical since insurance carriers are passive in their requests for supporting documentation. Our staff remains proactive until the authorization is accepted.
Follow Up
Frequent follow up may be required at times and our team remains on top of every submission pushing some on accelerated mode wherever necessary. All this is done to obtain an authorization well before the date of the procedure with the patient.
Billing Software Update
All approved authorizations are posted to their appropriate place within your PMS/ EMR. Any soft copy of the authorization would be uploaded into the EMR, if required.
Dedicated Account Executive
A round-the-clock dedicated account executive is just a phone call away. They are trained to handle a variety of requests or inquiries, and not just limited to urgent requests for an authorization.