Streamlining insurance approvals and referral management to eliminate costly procedure delays and scheduling friction..
Our team reviews clinical notes to ensure "Medical Necessity" is clearly documented for payers, reducing the risk of administrative denials.
We monitor pending authorizations daily. If a payer is slow, we escalate the request to ensure your surgical schedule stays on track.
In emergency cases, we specialize in securing retro-active authorizations to ensure your practice gets paid for urgent care provided.
We verify if a procedure needs an auth based on the specific insurance plan rules.
We submit the clinical records and CPT codes via payer portals or fax immediately.
Once approved, we cross-check the auth number against the scheduled claim for 100% accuracy.