Prior Authorization

We offer high-quality and high-volume white glove service for your practice or hospital...from prior authorizations to medical and pharmacy benefits to contract negotiations. 

Staying up to date on payer policy changes and understanding the requirements for authorization types is a critical step for accuracy and reducing delays. We can help you track whether a service or medication requires prior authorization. 

Technology and FTEs with focused and optimal results. We help you:

  • Reduce the rising cost of prior authorization
  • Reduce medical waste (redundancy) and administrative burden
  • Prioritize authorization to optimize patient outcomes


The Negative Impact of Prior Authorizations

Care delays, abandonment, and denials related to Prior Authorization (PA) can lead to significant adverse clinical outcomes for your patients. Nearly one-quarter of physician’s from an AMA survey report that PA has led to a severe adverse event, such as hospitalization, disability, or even death, for a patient in their care. We can help your group eliminate Prior Auth challenges by augmenting your staff with our experts to help with your more challenging and time-consuming authorizations.

Our Areas of Authorization Expertise:

  • Specialty Medicine
  • Radiation Oncology
  • Proton Therapy
  • Infusion
  • Chemotherapy
  • Advanced medical imaging
  • Orthopedics
  • Plastic and Reconstructive Surgery
  • Opthamology
We have industry insight and end-user knowledge that has shaped and developed training on topics from customer engagement, reimbursement 101, manufacturer assistance navigation, and contract implementation for maximized benefit. Authorizations for radiation oncology and proton therapy require service line expertise, especially concerning timing and workflow. Our team maintains near real-time databases of codified health policies. We also work directly with payers building value-based models and educating them on the latest treatment benefits and protocols. We are committed to treating your patients as well as you do. We offer support with Manufacturer Support Programs. Our expertise and focus is the value of the collaboration and partnership. Optimize your time, resources, and focus on your patients and high-value touch points.