No More Waiting on Approvals

Patients experience treatment delays because of prior authorization, which also prevents providers from receiving timely payment. We manage all aspects of the submission process including follow-up work and appeal procedures so your staff can focus on patient care instead of dealing with insurance disputes.

Stop Losing Payments to Missing Approvals

Prior auth is the approval you need from a provider before going ahead with a procedure, medication, imaging study, or specialist referral.If you skip this step, the insurer can deny the claim, even if the service was necessary.

For busy practices with many patients, managing this process by hand is exhausting. It involves hours of phone calls, faxes, logging into payer portals, and weekly follow-ups. Your clinical and administrative staff can’t afford to waste that time.

Authorization types we manage for your practice:

Surgical procedure auth, including inpatient and outpatient operations
The diagnostic process allows all scans and advanced imaging procedures to receive approval
Specialty referral approval for consultations and ongoing critical care
The system requires pre auth for expensive medications and infusion
Durable medical equipment consent and continued use renewals
Retrospective auth requests when urgent care was provided before approval

Our effortless medical billing solutions

A clear, step-by-step revenue cycle workflow speeds up claim payments. It also maintains the financial strength of your practice.

Build the Patient Profile

Check Before You Claim

Decode the Perks

Turn Claims Into Revenue

Prior to visit, we check the patient's basic information and insurance details. This helps us avoid errors and prevents claims from being rejected later.
On the spot eligibility checks confirm active coverage, plan benefits, deductibles, co-pays, and authorization requirements for each patient visit.
Certified coders review clinical notes and assign precise CPT codes. We scrub claims for errors before submission to maximize first-pass acceptance.
Payments are posted the same day. Denials are flagged, corrected, and resubmitted within 48 hours. We follow up on every aging claim until your account is resolved.

What Prior Authorization Actually Takes from Your Practice

These are the operational costs that practices absorb every week when authorization management stays in-house instead of with a dedicated team.

14.6 hrs Physician Per Week

The American Medical Association reports that the average physician practice spends 14.6 hours per physician per week managing prior authorizations. That is nearly two full working days of administrative time every week.

1 in 4 Patients of Abandon Care

Studies show that 1 in 4 patients abandon a prescribed treatment when prior authorization delays extend beyond one week. That is lost patient revenue and delayed care in the same event.

83% Of Overturned Denials

When appealed properly, 83 percent of prior authorization denials are eventually approved, confirming the service was medically necessary from the start. The denial was a process failure, not a clinical one.

Certifications

We maintain the highest standards because your trust is important to us. Our certifications reflect our dedication to keeping patient data secure.

Listen to our Happy Client

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Got Questions? We Have Answers.

Specific answers to what we hear most from practices ready to stop managing authorizations in-house.

How far in advance do you submit authorization requests?

We submit authorization requests as soon as a service is scheduled, targeting submission at least five to seven business days before the appointment for routine procedures. For services with longer payer review windows, such as certain surgeries or high-cost medications, we submit further in advance based on the specific payer's known turnaround time. Urgent requests are submitted the same day and escalated through the payer's expedited review channel.

What happens if a payer denies the authorization?

We file a formal appeal immediately with additional clinical documentation supporting medical necessity. For complex denials, we coordinate a peer-to-peer review between the payer's medical director and your ordering physician. We handle all the scheduling, documentation preparation, and follow-up for the peer-to-peer call so the physician's time investment is minimal. Most initial denials are overturned at this stage when the appeal is properly prepared.

How do we know the status of each open authorization request?

The weekly status report provides complete coverage of all open and completed requests. The entry displays information about the patient together with the service and payer details. The process provides you with immediate notification of decision outcomes for urgent cases instead of waiting until the weekly report.

Can you take over the authorizations we are currently managing in-house?

Yes. We audit your current open authorization queue, identify every pending and recently expired request, and take over the active management of all of them within the first week. Your team does not need to hand off individual cases one by one. We extract the full authorization workload from your existing system and absorb it into our workflow immediately.

Explore Related Services

Explore a range of related healthcare services designed to support your practice. From billing to credentialing, we help streamline operations, reduce errors, and improve revenue flow.

Denial Management

If your claim is denied, our team quickly identifies it, makes appeals, and recovers every dollar.

Insurance Eligibility Verification

Our experienced coders deliver optimized coding that minimizes errors, audits, and helps you get paid fairly.

Medical Billing

We handle your entire billing process, including claims, documentation, and compensation work.

Take Control of Prior Authorizations Without Delays

Stay ahead of every request with a process that keeps approvals moving. Get the authorizations fast so care isn’t delayed, and payments stay on track.