Prior Authorization Retro Authorization

We Handle your Prior and Retro Authorization for Quick Approval

We keep you away from stress and burden of documentation, communication and follow up from insurance companies. Our 20+ years experienced team takes care of everything allowing you to focus on patient care.

Our Prior and Retro Authorization Services Streamlines your Practice

It’s difficult to understand the complexities of prior and retro authorization. We offer all inclusive prior and retro authorization services to maximize insurance benefits for you. We are here to assist you in getting necessary approvals.

Improved patient care with faster approval times
Reduced stress and administrative burden
Around the clock support and guidance

Increased insurance benefits and decreased denials

Our Prior And Retro Authorization Services Streamlines Your Practice

Pre-authorization Request submission

We collect all medical records and supporting documentation to liaise with you for accurate diagnosis and coding procedures. We submit a request to the insurance company and track the status of your request throughout the process.

Retro Authorization Assistance

We assist you in receiving retro authorization for services already rendered due to some unpredicted circumstances. We follow up your claim with the insurance company by completing the submission of retro authorization appeal.

Appeals and Denial Management

We analyze denial notices and identify root causes for denials. We are your negotiator with insurance representatives. Our experienced team manages multiple appeals where it’s necessary. We help you to avoid unnecessary out of pocket expenses.

Data Analysis and Reporting

We help you to provide valuable insight into prior and retro authorization to optimize your workflow and increase your insurance reimbursement. We track KPIs like turnaround time, denial rates and approval rates for your practice.

Measurable Results in Prior and Retro Authorization

As your success partner, we are delivering exceptional results for your prior and retro authorization processes.

Billwise Prior and Retro Authorization Strategy

We are dedicated to rapidly improving your prior authorization procedures and capturing additional revenue. We do all for you from the patient’s documentation to proper payment and denials resolution. Our strategic approach focused on five key areas:

Enhanced Documentation

We give direction to your staff for accurate and complete documentation to support the medical necessity of services.

Streamline Prior authorization Process

We ensure streamline workflows by timely submissions and proper follow up with payers. We provide you customized services and procedures as per your requirement.

Accurate and Precise Coding

Our AAPC certified coders ensure your services are coded correctly to maximize your insurance reimbursement.

Proper Payment Assurance

We implement our strategic approach to ensure proper payments from payers and report any issue promptly to avoid delay.

Denial Resolution

We address denials by opposing “No Prior-Authorization required”. Also resolve the financial impact of common denial reasons.

We are Accelerating Your Prior and Retro Authorization Processes

Exhausted of waiting weeks or months for prior and retro authorization along with facing complexities?

Billwise eliminates all frustration associated with prior and retro authorization procedures by saving you valuable time and maximizing revenue. We can speed up things by:

Real time eligibility verification
Integrated appeals and denial management
Pre-built templates and Auto fill features
Automated prior authorization requests
Automated notification and reminders

Quick approvals and improved cash flow with our prior and retro authorization solutions