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Prior Authorization Support for Medical Practices

Prior authorization requirements keep expanding and differ by payer and plan. We identify which services need authorization, submit requests with supporting documentation, and track approvals and visit counts so care isn't delayed and claims aren't denied.

Prior authorization services

  • Authorization requirement checks by payer and CPT/HCPCS code
  • Request submission via payer portals, fax or phone
  • Clinical documentation packaging
  • Approval, unit and date-range tracking
  • Renewal reminders before authorizations expire

Where authorization matters most

Advanced imaging, infusions and chemotherapy, interventional pain procedures, surgery, and ongoing therapy visits are the most common authorization-driven denials we see.

Prior Authorization Support by specialty

See how we apply prior authorization support to specialty-specific rules:

Frequently asked questions

Can you guarantee an authorization is approved?

No. The payer makes the medical necessity decision. We make sure requests are complete and followed up.

Let's talk about your practice

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