Prior Authorization Verification
Some Insurances required a valid authorization in order to reimburse for a certain service. Absence of a valid authorization may result in claim denial. Verifying authorization requirement before the service avoids denials, and contributes to increase in collections. If authorization is required then our Precertification Team get a case initiated and obtain a valid auth for service. Leverage Rx RCM’s Eligibility Verification and Prior Authorization services to optimize your revenue cycle and improve collections.
We determine prior authorization requirements and prepare the requisite information and submit to the payer. We do a timely follow up on submitted prior-authorization requests and notify the providers in case any authorization issue is identified.