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Pre-Authorization Services
Pre-authorization is a critical step in the medical billing process, ensuring that the services or procedures your practice performs are covered by a patient’s insurance plan before they are delivered. ORC Billing LLC offers comprehensive pre-authorization services to streamline this process, reduce delays, and ensure your practice receives timely reimbursements.
With our pre-authorization services, you can avoid denials, minimize patient confusion, and ensure that your practice’s services are fully covered by insurance. Let us manage the complexities of insurance pre-authorization so that you can focus on providing quality care to your patients.
08:00 AM - 06:00 PM
08:00 AM - 04:00 PM
How to Supports Pre-Authorization:
We begin by verifying patient eligibility and checking whether the requested services or procedures are covered under their insurance plan. This helps ensure that only authorized services are provided.
We handle the entire prior authorization process, from submitting the necessary documentation to follow-up with insurance providers. Our team submits the required information, such as clinical notes, treatment plans, and medical necessity documentation, to ensure authorization approval
We submit pre-authorization requests promptly to avoid any delays in treatment. Our team ensures that all necessary documents are submitted in a timely manner, so your patients can receive the services they need without waiting.
We act as the liaison between your practice and insurance companies, handling any follow-up communication with payers. We monitor the status of authorization requests and follow up until the process is complete.
By managing the pre-authorization process efficiently, we reduce the chances of denied or delayed claims, ensuring that your practice receives payment for the services provided and that patients have fewer financial concerns.
For more complex or specialty procedures, we provide specialized pre-authorization support. Our team is experienced in managing prior authorization requests for a wide range of services, including surgical procedures, advanced imaging, and specialty treatments.
We assist in communicating pre-authorization approvals or denials to your patients in a clear and timely manner. If a pre-authorization is denied, we also help guide patients on their next steps or appeal options.
We ensure that all necessary documentation is provided for each request, and we maintain compliance with the latest insurance policies and regulations. This helps protect your practice from penalties due to improper documentation or failure to follow procedures.
Benefits of Pre-Authorization Services:
Reduced Denials:
By ensuring that pre-authorizations are obtained before treatment, we reduce the likelihood of denials and unpaid claims, helping your practice maintain healthy cash flow.
Faster Approvals:
Our experienced team works diligently to ensure that authorization requests are submitted and processed as quickly as possible, allowing your patients to receive timely care.
Improved Patient Experience:
Patients are informed early in the process about what is covered, reducing their stress and ensuring they are not surprised with unexpected medical bills.
Better Compliance:
Our services ensure that your practice is compliant with insurance requirements and stays up to date with changing payer policies.
Reduced Administrative Burden:
With us handling the pre-authorization process, your staff has more time to focus on other tasks, improving overall office efficiency.
Why Choose ORC Billing LLC for Pre-Authorization Services?
At ORC Billing LLC, we understand how crucial the pre-authorization process is to the success of your practice. Our team is committed to ensuring that you can provide services without delays or financial obstacles. We streamline the pre-authorization process, helping your practice achieve better financial outcomes and improve the patient experience.