Pre-Authorization

We obtain patient information to secure prior authorization for inpatient and outpatient procedures, as well as hospital admission pre-certifications, to help you save time and get maximum reimbursements.

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Simple 5-Step Process

1
Details EMR

Front office updates patient details in EMR.

2
Benefits Confirmed

Claim HealthCare checks benefits and coverage.

3
Retrieve Plan

Claim HealthCare retrieves the plan form manually.

4
Submit Documents

We send the pre-authorization form with documents.

5
Monitoring

We monitor status until treatment is approved.

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Why Choose Us

Inefficient pre-authorization processes can result in higher claim denials, creating unnecessary rework. By minimizing prior authorization-related denials, we significantly reduce overall claim denials and accelerate cash flow.

With our streamlined authorization process, patients can be scheduled for care reviews with physicians in a timely manner, improving the speed of care delivery.

As Claim Healthcare manages the entire pre-authorization process at a cost significantly lower than traditional methods, healthcare providers can dedicate their full attention to delivering high-quality care to their patients.