Eliminate the #1 cause of provider burnout. Our dedicated team manages the entire authorization lifecycle—from initiation to approval—ensuring your patients get the care they need without administrative delays.
Common Challenges
We understand the unique hurdles you face.
ChallengeStaff Burnout
Your front desk spends hours on hold with insurance companies instead of helping patients.
Our Solution
We take the phone tag off your plate completely. Your staff focuses on patient care; we focus on the payers.
ChallengeLost Revenue
Procedures are performed without proper authorization, leading to irreversible 100% write-offs.
Our Solution
Our "No Auth, No Schedule" protocol ensures financial clearance before the patient ever walks in the door.
Key Features
Everything you need to succeed.
Specialty-Specific Teams
We don't use generalists. Your authorizations are handled by experts in Oncology, Cardiology, Radiology, and Orthopedics who understand clinical necessity guidelines.
Retroactive Authorizations
Missed a pre-auth? Our team specializes in "retro-auths" and urgent appeals to recover revenue for procedures already performed.
Denial Management
If a request is denied, our MD-led peer-to-peer review team steps in immediately to overturn the decision based on medical necessity.
Real-Time Dashboard
Transparency is key. Log in to our porta to see the live status of every patient authorization: Initiated, Pending, Approved, or Denied.
How It Works
Our streamlined approach to your success.
Intake
Send us the patient info via our portal or let us pull it from your EHR.
Verification
We instantly verify eligibility and determine specific payer requirements.
Submission
Our experts compile clinical notes and submit the request via the most efficient channel.
Follow-Up
Automatic status checks every 4 hours until a final determination is reached.
Why Choose Us?
Powered by Auth-AI™
Our intelligent engine predicts payer requirements before we submit. It scans thousands of payer policies in real-time to flag missing clinical documentation before a rejection can happen.
- Automated Policy Updates
- Predictive Denial Analysis
- Direct-to-Payer API Integration
AUTH-2024-001
MRI Lumbar Spine
AUTH-2024-002
Cataract Surgery
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Echocardiogram
Real-time sync with Payer Portals
Frequently Asked Questions
Ready to Optimize Your Revenue?
Contact us today to learn more about our prior authorization services services and get a free practice audit.