Prior Authorization is the initial step that decides the fate of the revenue cycle management, as it verifies the basic insurance eligibility of the claim as negotiated between the patient and the provider. Prior Auth Online is the company which was formed in the year 2007, since when it has been providing able professional service in prior authorization for frontline medical service providing clients of the United States of America. Before Prior Auth Online, prior authorization services used to be executed by the medical offices itself, leading to a lot of confusion and operational mismanagement. Prior Auth Online paved the way for a standardized digital platform to make the job easy and fruitful.

The process of prior authorization as followed by Prior Auth Online can be broken down in to the following steps for easier understanding of the system.

  • Collection of the relevant documents required by the payer company form the providers
  • Calling and coordinating with the insurance company to confirm the pre auth procedure and turnaround time
  • Submission of the prior authorization request
  • Checking the pre auth status with the insurance company as according to the turnaround time of the payer
  • Acknowledgement of the authorization approval or the denial
  • Updating the information in the provider’s system
  • Adding the additional information like service dates etc along with the basic acknowledgment

The essential USPs of our service profile are as follows

  • A range of comprehensive pre auth services starting from request submission to follow up and approval
  • 100% HIPAA and HITECH compliance
  • Turnaround time less than 48 hours
  • Low service fees with no hidden cost
  • Zero lock up service contract that can be cancelled at any time
  • An array of superb references by the top clients of the USA
  • Real time audit and custom reporting
  • Superb clarity of functions, excellent visibility and expert work process

We are one of the few companies that work with both the payers and providers, are adapted to various revenue regeneration software and are open to challenges from different clients. Visit us on to know better.