Compliance Isn’t Optional – That’s Why We’re HIPAA Certified.
Smarter Prior Authorizations for Hassle-Free Reimbursements
- Accurate & Timely Prior Authorization Handling
- HIPAA-Compliant Authorization Support for Clinics, Hospitals, Labs & Billing Companies
- Secure & Compliant Workflow with End-to-End Tracking
- Faster Turnaround to Reduce Delays & Claim Denials
- Works with Your Existing EMR, EHR, or Billing Systems
COMPLIANCE
HIPAA
Fully HIPAA-compliant operations to safeguard sensitive health information with confidence.
ISO
ISO-certified systems that ensure consistent quality, security, and operational excellence.
HBMA member
Active member of HBMA, upholding industry-leading standards in medical billing and RCM.
Fast Turnaround Time
Experience fast, reliable service delivery with timelines you can count on.
Dedicated Account Manager
A dedicated account manager focused on your success, support, and smooth coordination.
FTE Based Pricing
Choose from FTE-based or transaction-based pricing models tailored to your business needs.
What’s Included in Our Prior Authorization & Referrals
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Eligibility Verification
Confirm insurance coverage before initiating the authorization process.
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Authorization Request Submission
Submit prior authorization requests accurately based on payer rules.
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Clinical Documentation Collection
Gather and prepare all required medical records to support the request.
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Medical Necessity Validation
Ensure procedures/services meet payer-specific criteria for approval.
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Referral Coordination
Manage referrals between primary care and specialty providers efficiently.
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Payer Communication & Follow-Up
Continuously track and follow up on pending authorizations with insurers.
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Authorization Appeals Handling
Manage and rework denied or delayed authorizations through proper appeals.
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Patient & Provider Notifications
Send timely updates on authorization status to both patients and care teams.
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Turnaround Time Monitoring
Ensure authorizations are obtained within the required timeframes to avoid care delays.
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Audit Trail & Documentation Logging
Maintain full records of all steps taken for compliance and reporting.
WHO WE SERVE
From Eligibility to Collections - We've Got You Covered
Smarter Verification. Stronger Revenue. Prevent Denials with Accurate Verification. - Know More >
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