Prior Authorization

Overview

Our team obtains and tracks prior authorizations for procedures, imaging, medications, and referrals so care is never delayed and services are never written off.

How it works

1. 1

   Requirement Check

   We confirm whether the service requires authorization.

2. 2

   Packet Build

   Clinical notes and medical necessity documentation are assembled.

3. 3

   Submission

   Requests go to the payer through the fastest available channel.

4. 4

   Escalation

   Pending cases are escalated, including peer-to-peer reviews.

5. 5

   Tracking

   Approved units and expiry dates are monitored.

Frequently asked questions