Verify coverage and secure authorizations before the visit
Denials that start at scheduling are the cheapest ones to prevent. We verify benefits, submit and track prior authorizations and give patients a cost estimate before the appointment, so the claim starts clean.
Eligibility and Benefits Verification
We verify coverage at scheduling and again two days before the visit, and flag plan changes, secondary coverage and coordination of benefits issues.
Prior Authorization Submission
We assemble the clinical packet the payer asks for, submit it, and follow up until there is a decision, including units, dates of service and the servicing provider.
Medical Necessity Check
We compare the order and the chart to the payer policy before the request goes out, so gaps are fixed while the physician is still reachable.
Patient Cost Estimates and Financial Clearance
Patients get an out-of-pocket estimate before service. For self-pay and uninsured patients we prepare the good-faith estimate that No Surprises Act rules require.
Authorization Tracking
We track every authorization by date and units used, not just "approved," with an expiration worklist so a visit never lands on an expired auth.
Peer-to-Peer and Denial Handoff
When a request is denied, we schedule the peer-to-peer with the right clinician and route real denials into our denial management workflow.
Payer and service inventory
We list which services need authorization for your top payers, and what each payer wants in the request.
Workflow setup
We connect to your scheduling process so verification and auth requests trigger automatically.
Verification and submissions
Eligibility checks, authorization requests and follow-up run every day.
Status and expiry report
You see what is approved, pending, denied and about to expire.
Denial trend review
We trace remaining denials back to the front end and close the gap.
- Specialties with frequent authorizations such as imaging, infusion, surgery, sleep and behavioral health
- Practices with growing eligibility and self-pay denials
- Practices without a dedicated front-desk verification team
- Groups that need patient estimates for financial clearance
Related reading and services: Denial Management · Prior authorization guide 2026 · Claim denials prevention · Claims Management.
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