Turnaround times can vary depending on the payer and type of service. Typically, it may take anywhere from 24 hours to several business days. At MedBrilliance, we ensure fast and efficient processing by leveraging electronic portals and direct payer communication.
Prior Authorization Services
At MedBrilliance, we know that getting prior authorizations can be a headache and take up a lot of time. MedBrilliance Prior Authorization Services are designed to make this process simple. We help you get faster approvals, fewer denied claims, and uninterrupted patient care. Our services start at just 2.49%, making it an easy and affordable solution for your practice.
MedBrilliance Prior Authorization Services Include
MedBrilliance handle the full prior authorization process for you, so you can focus on your patients. Starting at just 2.49%, our services offer a simple and affordable solution for your practice. Here’s what our services include:
Verification of Insurance Benefits
We review each patient’s insurance plan to confirm eligibility and benefits before starting treatment, ensuring smooth and accurate approvals.
Submission and Timely Follow-Up
Our specialists submit all required documents and follow up with payers regularly to ensure each authorization request is processed without delay.
Denial Management and Appeals
When an authorization is denied, our team reviews the reason and submits a complete appeal with supporting documentation to get the approval.
Real-Time Authorization Tracking
We track every prior authorization request in real time and provide timely updates, so your practice stays informed at every stage.
Prior Authorization for Specialized Treatments
Our team handles complex authorizations for imaging, procedures, and specialty medications, reducing administrative effort for your staff.
MedBrilliance Provides Consistent Updates
We keep both your team and patients informed throughout the process, ensuring transparency and better coordination in patient care.
Stop Losing Money to Claim Denials
- We make every project simple, and efficient for you, not unnecessarily complicated, stressful, or time-consuming.
- We don't overpromise and underdeliver, leaving clients frustrated and disappointed with unmet expectations.
How Our Prior Authorization Services Work
Our prior authorization specialists manage insurance approvals, documentation, and payer communication to help your practice secure faster approvals and reduce administrative delays.
Verification of Benefits
We verify each patient’s insurance benefits and confirm prior authorization requirements before services are rendered to avoid claim delays or rejections.
Submission & Follow-Up
Our team completes and submits authorization requests accurately, then follows up with payers to ensure timely processing and quick approvals.
Denial Management
If an authorization is denied, we analyze the reason, gather supporting documents, and resubmit a complete appeal to help secure the necessary approval.
Status Updates
We provide consistent updates on each authorization request, keeping your team informed and ensuring full visibility throughout the process.
MedBrilliance Success Rate
Error Free Claim Ratio
0
%
Success Rate on First Send
0
%
Guaranteed Revenue Growth
0
%
What Is Prior Authorization?
Prior authorization is a process where your doctor gets approval from your patient’s insurance company before a service or medication is covered.
At MedBrilliance, our Prior Authorization Services make it simple to get insurance approval. Our team handles the entire process for you, ensuring faster approvals and fewer claim denials. This helps you provide continuous patient care without the usual stress and delays.
Our Prior Authorization team helps you:
✓ Get faster approvals on services and medications.
✓ Reduce claim denials and avoid costly appeals.
✓ Keep your patients treatment on track without interruption.
✓ Save your staff valuable time and effort.
✓ Improve your practice’s revenue cycle.
Simplify Prior Authorizations Today
Prior authorization issues often cause delayed patient care and lost revenue. At MedBrilliance, we can prove that a well-managed prior authorization process makes a real difference. With our services starting at just 2.49%, we offer a simple and affordable solution for your practice.
Why Outsource Prior Authorization to MedBrilliance?
Prior authorization is a process where your doctor gets approval from your patient’s insurance company before a service or medication is covered.
At MedBrilliance, our Prior Authorization Services make it simple to get insurance approval. Our team handles the entire process for you, ensuring faster approvals and fewer claim denials. This helps you provide continuous patient care without the usual stress and delays.
Our Prior Authorization team helps you:
✓ Get faster approvals on services and medications.
✓ Reduce claim denials and avoid costly appeals.
✓ Keep your patients treatment on track without interruption.
✓ Save your staff valuable time and effort.
✓ Improve your practice’s revenue cycle.
Solutions to Your Prior Authorization Problems
The Problems You Face
- Time-Consuming Process: Getting prior authorizations takes a lot of time and effort from your staff, pulling them away from other important dutie.
- Slowed-Down Patient Care: Delays in getting authorization can postpone a patient's treatment, leading to frustration for both the patient and your practice.
- Frequent Claim Denials: Mistakes or missing information in the authorization request often result in denied claims, which hurts your revenue.
- High Administrative Costs: The constant back-and-forth with insurance companies adds to the administrative costs of your practice.
Our Medbrilliance Solutions
- We Handle the Paperwork: Our team takes over the entire authorization process, saving your staff valuable time and allowing them to focus on patient care.
- Faster Patient Approvals: We have proven strategies to get authorizations approved quickly, ensuring your patients get the care they need without unnecessary delays.
- Fewer Denials: Our experts ensure every request is accurate and complete, which reduces denials and improves your practice's cash flow.
- Cost Effective Service Our service starts at just 2.49%, offering an affordable way to manage prior authorizations and reduce your administrative burden.
Client Testimonials
Discover why healthcare providers trust MedBrilliance for their billing needs.
"MedBrilliance has completely transformed our billing process. Their team is incredibly efficient, knowledgeable, and responsive. Our revenue cycle has never been smoother, and claim denials have dropped significantly. A truly five-star service!"
Dr. Sarah Davis
Practice Manager, Harmony Health Clinic
"The clarity and detail in their reporting are exceptional. We always know where we stand financially. The transition to their service was seamless, and their customer support is top-notch. I highly recommend them to any medical practice looking to optimize their billing."
Mark Johnson
CFO, Apex Medical Group
"Partnering with MedBrilliance was one of the best decisions we've made. Their expertise in handling complex claims and navigating insurance policies is outstanding. They are a reliable and trustworthy partner that has allowed us to focus more on patient care."
Emily Carter
Owner, Carter Family Practice
Frequently Asked Questions (FAQs)
What is prior authorization in medical billing?
Prior authorization is the process of obtaining advance approval from a patient’s insurance company before delivering certain services, procedures, or medications. This step ensures that the recommended treatment is covered by the patient’s health plan, helping to avoid claim denials and delays in patient care.
Why is prior authorization important for healthcare providers?
Prior authorization prevents costly claim denials and reimbursement issues. It helps providers confirm that services are medically necessary and covered, reducing administrative burdens, improving compliance, and ensuring timely patient care without insurance conflicts.
How long does the prior authorization process take?
Which procedures or services commonly require prior authorization?
Services that often need prior authorization include advanced imaging (like MRI or CT scans), elective surgeries, specialty medications, certain outpatient procedures, and physical therapy. Each insurance plan has different requirements, so verification is essential.
