Prior Authorization
Prior authorization services that keep care moving
Our authorization specialists prepare, submit, and follow up on prior authorizations and track every approval through to its expiration date. This prevents delayed treatment and avoids write-offs for unauthorized services.
What you get
Why practices hand prior authorization to us
Faster approvals
Complete, payer-specific submissions with supporting clinical documentation.
Zero missed renewals
Expiring auths and unit limits are tracked and renewed before they lapse.
ABA & behavioral expertise
Deep experience with treatment plans, re-assessments, and unit-based authorizations.
Peer-to-peer support
We coordinate peer-to-peer reviews and appeals when authorizations are denied.
How it works
Our process, step by step
- Step 1
Identify
Services needing auth are flagged during eligibility verification.
- Step 2
Prepare
Clinical documentation is gathered and matched to payer criteria.
- Step 3
Submit & follow up
Submitted via portal, fax, or phone, with follow-up every 24 to 48 hours.
- Step 4
Track
Approved units, dates, and renewals are logged and monitored.
Questions
Common questions about prior authorization
Yes. ABA, behavioral health, and therapy authorizations are a core specialty, including treatment plan submissions and re-authorizations.
Standard requests are submitted within one business day of receiving complete clinicals. Urgent requests are submitted the same day.
Find out what your billing is really costing you
Send us 90 days of claims data and we'll show you where revenue is slipping through, how much is recoverable, and what we would fix first. It's free and there's no obligation.
We sign a BAA before any patient data changes hands.
