Prior Authorization Solutions for Providers

Reduce delays, prevent denials, and improve approval timelines with HelloMDs. We provide an end-to-end prior authorisation service tailored to healthcare providers. Our experienced team handles the entire process eligibility, documentation, submission, and appeals, ensuring compliance, accuracy, and faster reimbursements without adding extra workload to your staff.

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Professional Prior Authorization Support That Works

At HelloMDs, we provide comprehensive prior authorization services designed to reduce administrative burden and strengthen your revenue cycle. Our trained team manages each step from initial eligibility checks to payer submission and appeal handling ensuring that every request is accurate, timely, and compliant.

No more allowing past delayed authorizations to drain your practice’s time and resources.

Accurate Documentation | Fewer Denials | Improved Reimbursement Outcomes

Why Choose HelloMDs

Prior authorizations
Fully Managed Prior Authorization Services

We oversee the complete authorization cycle, so your internal staff can focus on patient care.

Trained Prior Authorization Specialists

Our experienced team completes every order with accuracy, upholding payer compliance and clinical documentation requirements.

EHR Platforms
HIPAA-Compliant Processes

Every step in our process adheres to strict data privacy and security guidelines.

specialized Expertise
Seamless Workflow Coordination

We work directly with your internal systems, aligning with your EHR and billing teams for smooth implementation.

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Responsive Communication

You receive regular updates and full transparency into each case’s status and outcome.

Our Step-by-Step Prior Authorization Process

We follow a structured and compliant approach to ensure faster, accurate outcomes:

1

Intake & Eligibility Verification

Our team confirms insurance details, authorization requirements, and service eligibility at the start of the process.

2

Medical Documentation Collection

We gather the necessary clinical documentation including test results, clinical notes, and provider orders tailored to each payer’s criteria.

3

Prior Authorization Submission

All information is reviewed for completeness and submitted to the payer manually, ensuring that no detail is missed.

4

Case Monitoring & Communication

We track each prior authorization and notify you of its status. If further information is needed, we coordinate the response promptly.

5

Appeals & Resubmissions

In the event of a denial, we manage the appeal by gathering additional documentation and submitting it within payer deadlines.

Benefits of HelloMDs' Prior Authorization Services

Improved Approval Rates: Comprehensive submissions aligned with payer expectations lead to more consistent approvals.

Administrative Efficiency: We take on the administrative load so your internal team can stay focused on care delivery.

Denial Prevention: Our attention to documentation accuracy and policy compliance significantly reduces rejection rates.

Faster Reimbursement: Fewer delays and denials translate into improved cash flow and more predictable billing outcomes.

Real-Time Case Visibility: Stay informed with ongoing updates throughout the authorization process.

Payer Compliance: Our team ensures all documentation aligns with regulatory and payer-specific requirements.

Reviews

What Our Customers Are Saying!

Every review tells a story. The insights and experiences shared by our clients drive us to improve, innovate, and deliver even better solutions. Here’s what healthcare professionals are saying about working with us.

Our practice was overwhelmed with prior authorization backlogs, and turnaround times were hurting patient access. HelloMDs stepped in and immediately created a streamlined process that our billing team could follow. Within the first month, approvals were coming in within days instead of weeks, and denial rates dropped significantly. Their team is communicative, organized, and precise.

Rachel S. Revenue Cycle Manager

We struggled with inconsistent approvals and lost revenue from denied authorizations. The documentation required by different payers kept slipping through the cracks. HelloMDs took over completely and handled every detail from verifying eligibility to managing appeals. Their thorough documentation reviews have saved us from costly delays, and our approval rate has soared.

Michael T. Billing Supervisor

Before HelloMDs, our small team spent hours each week calling payers and resubmitting incomplete requests. Now, that’s all handled externally. They keep us in the loop with real-time updates and have virtually eliminated rework. What we appreciate most is their consistency every request is handled with care, and we know it’s in good hands.

Priya N. Office Administrator

We were losing revenue month after month due to late or missing prior authorizations. Our staff was stressed and overwhelmed. HelloMDs not only cleaned up our backlog but also created a long-term system that keeps everything on track. Their service has been a game-changer for our operations and bottom line.

Kevin L. Operations Director

Ready to Resolve Your Prior Authorization Challenges?

Let HelloMDs handle the complexities. Schedule a free audit today to discover how our manual, professional prior authorization service can improve your workflow and help secure faster reimbursements.

Frequently Asked Questions

By ensuring complete documentation and direct coordination with payers, we help reduce delays and secure timely decisions.

We provide fully manual, expert-driven prior authorization support—not software. Every case is handled by trained professionals.

Our team manages the appeal process, gathers additional documentation, and resubmits within the appropriate payer timeframe.

Yes. We follow HIPAA guidelines strictly and ensure secure handling of all medical records and patient information.

Minimal involvement is required. We manage the process end-to-end, coordinating with your team only when needed.

Yes. Our team is experienced in submitting to and following up with all major commercial and government payers.

Yes. We coordinate with your internal workflows to ensure seamless integration into your operations.

No. Our services are flexible and scalable based on the volume and needs of your practice.

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