Authorisations fail silently. A request that pends looks identical to one in progress, and the difference surfaces when the service has already been delivered without approval.
Authorisations are a tracked queue with a clock on each item, and you know before the visit whether one is in place.
At a glance
Step 1
Submit authorization requests with the clinical information attached
Step 2
Track every request against a follow-up clock rather than a status field
Step 3
Coordinate peer-to-peer reviews and get them on a calendar
Step 4
Flag services scheduled without an approved authorization in place
What we actually do
- Submit authorization requests with the clinical information attached
- Track every request against a follow-up clock rather than a status field
- Coordinate peer-to-peer reviews and get them on a calendar
- Flag services scheduled without an approved authorization in place
What this fixes
- A spreadsheet of pending authorizations nobody updates
- Peer-to-peer requests that expire because scheduling was nobody’s job
- Procedures performed on an authorization that was never actually approved
We keep the books. You run the business.
Categorization, reconciliation, month-end close, and clean financial statements — with nothing left for you to chase.
View pricingHow It Works
Review
We look at how this runs today and where it leaks.
Scope
A written scope and price before any work starts.
Transition
We take it over without a gap in submission.
Report
The same six numbers every month, so you can see it working.
Prior Authorization — Frequently Asked Questions
Do you handle peer-to-peer reviews?
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We coordinate and schedule them and assemble the clinical information. The review itself is a conversation between your provider and the payer’s.
Are complex authorizations priced differently?
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Yes. A specialty-drug or infusion authorization requiring peer-to-peer is a materially bigger job than an imaging request, and one flat rate for both serves nobody.
Ready for books you can actually trust?
Book a free consultation and we will tell you what your books need and what it costs.
- Done-for-you
- Solo or group
- Nationwide
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