Prior Authorization Services

Prior Authorization Services

PrimeCare MBS offer a comprehensive range of prior authorization services to help healthcare providers navigate the complex world of insurance approvals. We understand that prior authorization can be a time-consuming and frustrating process. We are committed to helping our clients streamline this process and get their patients the care they need when they need it most.

Details of Our Prior Authorization Services

Our prior authorization services are provided by a team of experienced professionals who are experts in the latest insurance regulations and requirements. Our prior authorization services include:

  • Eligibility Verification: We verify the required patient’s insurance eligibility to ensure that the requested service is covered under their plan.
  • Prior Authorization Request Submission: We work with your practice to complete and submit prior authorization requests to the appropriate insurance companies.
  • Prior Authorization Status Tracking: We track the status of all prior authorization requests and follow up with insurance companies as needed to ensure that they are processed promptly.
  • Prior Authorization Denials Management: If a prior authorization request is denied, we will work with you to understand the reason for the denial and develop a plan to address the issue. We may also appeal the denial on your behalf, if appropriate.

We are committed to providing our clients with the highest level of service and are always available to answer your questions and help you through the prior authorization process.

Benefits of Our Prior Authorization Services

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Expert Guidance

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Improved Cash Flow

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Reduced Paperwork

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Ongoing Support

Our prior authorization services are applicable for:

  • Prior Authorization for Medications: We can obtain prior authorization for all types of medications, including prescription drugs, over-the-counter drugs, and medical devices.
  • Prior Authorization for Procedures: We can obtain prior authorization for all types of procedures, including surgeries, diagnostic tests, and outpatient services.
  • Prior Authorization for Hospital Admissions: We can obtain prior authorization for hospital admissions, including elective and emergency admissions.

To learn more about our Prior Authorization Services, please call us, or fill out the inquiry form and see how we can help. We would be happy to answer any of your questions and provide you with a free quote.