Prior Authorization Support for Healthcare Providers
Prior authorizations play a critical role in determining whether healthcare services are approved, reimbursed, or denied. For many healthcare providers, navigating payer-specific authorization requirements can be time-consuming and inconsistent, increasing the risk of errors that lead to treatment delays, staff burden, and preventable claim denials.
MDBill’s Prior Authorization Support simplifies this complex process by managing the entire authorization lifecycle on behalf of providers. Our team evaluates payer requirements, prepares and submits complete authorization requests, coordinates supporting clinical documentation, and actively follows up with insurers until a final determination is received. By securing approvals before services are rendered, we help providers reduce administrative workload, improve patient access to timely care, and safeguard revenue across the billing cycle.
What We Handle for Providers
Our prior authorization specialists manage the full authorization lifecycle, ensuring accuracy, compliance, and timely approvals.
Eligibility & Authorization Review
We confirm whether prior authorization is required based on payer, procedure, diagnosis, and patient plan details before services begin.
Authorization Request Submission
Complete and compliant authorization requests are prepared and submitted with all required clinical documentation.
Payer Follow-Ups & Status Tracking
We track authorization requests, follow up with payers, and respond promptly to additional documentation requests.
Authorization Updates & Monitoring
Approval timelines, validity periods, and usage limits are monitored to prevent expired or incomplete authorizations.
Key Benefits for Your Practice
- Fewer claim denials due to missing authorizations
- Faster patient access to care
- Reduced administrative burden on staff
- Improved revenue cycle predictability
- Better compliance with payer policies
How It Works
Service Identification
Provider submits scheduled services or procedures requiring authorization.
Authorization Processing
MDBill reviews payer rules, prepares documentation, and submits requests.
Payer Coordination
Continuous follow-up with insurers until approval or resolution.
Approval Confirmation
Authorization details are shared with your team for billing readiness.