Check and prepare
Find out what is needed before the visit is at risk.
- Authorization requirement checks by payer
- Clinical records gathered from the chart
- Payer forms and portal entry
- Missing documentation requests to your team
Prior authorization · Front-end revenue cycle
Prior auths with an owner from request to decision.
Authorizations eat staff hours and hold up care. We prepare each request from the chart, submit it, chase the payer and tell your team where it stands.
Works with your current systemScope and handoffs agreed upfrontBAA before PHI access
A clear scope. A consistent handoff.
Support designed around real practice work.
Every payer has its own rules, forms and portals. We check whether a service needs authorization, assemble what the payer asks for from your records and keep every open request on one tracked list.
Submit and follow up
Keep every request moving until the payer decides.
- Portal, fax and phone submission
- Status checks on an agreed cadence
- Additional information requests
- Approved units and date tracking
Handle the decision
Make sure the outcome reaches the schedule and the claim.
- Approval numbers recorded for billing
- Denial notices routed to the provider
- Peer-to-peer scheduling for your provider
- Renewals tracked before they expire
How we begin
A measured start before the work is handed over.
- 01
Review the workflow
We learn your payers, billing system, current backlog and where this work stalls today.
- 02
Set the scope
Agree on which queues we own, what stays with your staff and how exceptions come back to you.
- 03
Start with secure access
Document the handoff and sign a business associate agreement before any PHI is shared.
- 04
Work and review
We work the agreed queues, record each follow-up and review open items with your practice.
Questions
Before you get started.
We’ll use an initial conversation to understand the work, the current system and the boundaries your practice needs.
Do you handle medication prior auths?
Yes, once your prescribers and workflow are set up. Your provider remains the one who prescribes and attests to the clinical information.
What if an authorization is denied?
We send the decision and payer reason to your provider, schedule a peer-to-peer if you want one and prepare the appeal paperwork from the record.
Start with a conversation
Let’s talk about the work you want off your team’s plate.
We’ll discuss your workflow and what a practical service scope could look like. Please don’t share patient details on the call booking form or this website.
Or call (844) 874-2236