Cut administrative burden, stop revenue loss from denials, and speed patient access to care with HelloMDs’ Prior Authorization Services. Our commercial-grade, end-to-end prior authorization solution manages eligibility checks, clinical documentation, payer submission, monitoring, and appeals. We help so your billing staff can focus on revenue cycle management (RCM) and clinicians can focus on patients.
Schedule a Free audit | Get a Custom quote | Phone: (469) 421-2777
Schedule a consultation
We offer comprehensive prior authorization services for physician practices, outpatient clinics, imaging centers, DME vendors, specialty pharmacies, and hospitals. Our services include eligibility and benefits verification, clinical documentation preparation, payer-specific prior authorization submissions, real-time case monitoring and status updates, denial prevention and appeals management, EHR/PM integration, and more. No more allowing past delayed authorisations to drain your practice’s time and resources.
Accurate Documentation | Fewer Denials | Improved Reimbursement Outcomes
Handle everything from intake to appeals.
Deep payer knowledge and clinical-documentation expertise.
Every step in our process adheres to strict data privacy and security guidelines.
Accurate submissions aligned with payer criteria improve approval rates and cash flow.
Case updates, timelines, and outcomes delivered to your team.
We follow a structured and compliant approach to ensure faster, accurate outcomes:
Our team confirms insurance details, authorization requirements, and service eligibility at the start of the process.
We gather the necessary clinical documentation including test results, clinical notes, and provider orders tailored to each payer’s criteria.
All information is reviewed for completeness and submitted to the payer manually, ensuring that no detail is missed.
We track each prior authorization and notify you of its status. If further information is needed, we coordinate the response promptly.
In the event of a denial, we manage the appeal by gathering additional documentation and submitting it within payer deadlines.
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.
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.
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.
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.
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.
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.
