Prior Authorization Services

Sick of struggling with insurance providers over prior authorization approval? We have the solution.

About Our Prior Authorization Services in Connecticut

Prior authorization is likely an aggravating factor that has the potential to cause frustration for Connecticut medical practices. This inevitably results in a pile-up of papers, a delay in patients’ services, and, in the end, a loss of practice revenue to the insurance companies.  At Connecticut Medical Billing, our team of prior authorization experts are conversant with prior authorization procedures. We provide end-to-end solutions that relieve you of the service burden so you can focus on your core mandate of delivering quality and efficient patient services.

Our Comprehensive Prior Authorization Services

Eliminate treatment delays and streamline your billing process with our comprehensive prior authorization services. Our Connecticut medical billing services team will:

Verify Prior Authorization Requirements

Claiming a certain service would require prior authorization, and we will do this according to the insurance plan of the particular patient.

Gather Necessary Documentation

We will gather all the necessary paperwork that may include clinical notes, diagnoses, and treatment plans from your staff.

Submit Flawless Requests

We promise to make your prior authorization requests professional, clear, and using the right channel, whether online or through faxes.

Track and Follow Up

We shall ensure that we follow up promptly on insurance-related matters to avoid any delay in the provision of services to the patients.

Appeal Denied Requests

In the event that the request is rejected, we will assist you in drafting an appeal that is informed by medical necessity criteria.

Benefits of Our Provider Prior Authorization Services

In terms of prior authorization specifically, we handle it professionally with multiple benefits at your doorstep. This includes:

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Prior Authorization
FAQs

We'll work with your staff to gather all the necessary documentation, typically including:
  • Patient demographics and insurance information
  • Diagnosis codes
  • Treatment plan and procedure codes
  • Clinical notes supporting medical necessity
Turnaround times vary depending on the insurance company and the complexity of the service. We will diligently follow up with the insurer to expedite the process whenever possible.
Don't worry! Our team has extensive experience crafting persuasive appeals based on medical necessity guidelines. We'll work with you to increase the chances of a successful appeal.

Don't Let Prior Authorization Disrupt Your Workflow

At Connecticut Medical Billing Services, we understand how cumbersome prior authorization can be. Why not leave all these responsibilities to us while you concentrate on delivering quality health care to your patients?
Get in touch with us right away to learn how we can possibly help you make your prior authorization procedure a whole lot easier!

We are pleased to offer you the healthy.

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