Prior Authorization

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Get the payer’s consent for the service even before it is rendered. Pre-authorizing payments can prevent payment delays, partial payments, and denials. A claim that is submitted with an authorization number will be processed correctly.

Details of Insurance

The CPT code is one of the biggest challenges in pre-authorization. Let us handle it. Medisensei’s highly-trained and professional staff work hard to determine the correct CPT. They also analyze the most likely scenarios and work with the doctor to identify the most probable ones. Stop chasing payment. Pre-authorized payments are quick.

The provider will have to get the authorization. Your coders might have done a good job. We understand that a claim denial or partial payment can have a negative impact on the provider. That is why we make sure to get the Pre-Auth when you outsource the procedure. We work with doctors, hospitals, payers, and outpatient facilities to ensure that the pre-certification is complete.

Medisensei Health Prior Authorization will allow you to spend more quality time with your patients, and less time on administration and paperwork

Prior authorization can prevent the following:

  • Make sure that payment is not denied or delayed.
  • Ensure that the patient receives the maximum benefit possible from the insurance policy.
  • Paying and claiming is not allowed.
  • Financial counselling for patients can be improved.

FAQ

What is pre-authorization?
The payer of the patient’s health insurance must give the consent before a healthcare provider can perform certain procedures. This is done to show that the procedure is medically necessary.
Does a preauthorization guarantee payment for the procedure?
No! The pre-approval of a payment does not guarantee it will be paid on time. It does simplify the process, compared to the normal one. Pre-authorization can help to process payments more quickly. The medical biller in this case is responsible for making sure that the insurance billing process has been completed.
Why is Medisensei a great choice for pre-authorization?
Adi Health simplifies the complex process of submitting forms by making sure that they are correctly filled out. According to a report by the American Medical Association, pre-authorizations of prescription drugs have increased 20% each year. It is important to plan for the future now.