PRIOR AUTHORIZATION
Protect access to care and reimbursement
A controlled authorization workflow helps prevent delays, cancellations and avoidable denials.
CHECK THE REQUIREMENT
Confirm payer rules for the service
Review coverage, codes, clinical criteria, referral needs and submission channels.
BUILD THE REQUEST
Send complete clinical support
Match documentation to medical-necessity criteria and include every required attachment.
TRACK THE STATUS
Own follow-up through the decision
Record reference numbers, requests, deadlines and escalation actions in one queue.
CONNECT THE APPROVAL
Carry authorization details into billing
Document the number, approved service, units and validity dates before claim submission.
NEXT STEP
Measure authorization outcomes
Track turnaround, approval rates, delays and authorization-related denials by payer.