Prior Authorization
Prior Authorization Management
Prevent delays in patient treatments and avoid non-covered service write-offs. We secure pre-authorization codes and approvals from insurance payers before medical procedures are scheduled.
Service Overview
Prior authorization is one of the leading causes of payment delays and scheduling friction. Avera Technologies takes this burden off your clinic staff. Our prior authorization specialists review clinical records, identify specific payer criteria, fill out request forms, and submit them through payer portals. We track approval numbers daily, coordinate peer-to-peer reviews when needed, and sync approval codes directly back to your scheduler, ensuring zero write-offs due to unauthorized procedures.
Key Prior Authorization Features We Offer
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Pre-Auth filings
Submitting authorization forms and matching CPT/diagnosis codes to payer medical guidelines.
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Clinical Document Assembly
Compiling patient charts, lab results, and physician notes required to justify medical necessity.
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Stat/Urgent Pre-Auth Processing
Expedited submission and constant phone follow-up for urgent clinical procedures requiring immediate approval.
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Authorization Tracking & Sync
Entering approved authorization numbers, valid dates, and allowed units directly into patient account fields.