Prior Authorization
Services

Prior authorization services involve appealing to the insurance company with medical details about future treatment or medication. If approved, the insurance firm provides an authorization number confirming coverage. Denials can be challenged; for treatments not covered, complete information must be provided for consideration. Pre-authorization ensures worry-free payment for procedures.

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Outsourcing
Pre-Authorization Services

Pre-authorization services are complicated but essential. Experienced professionals efficiently handle this task, saving physicians and healthcare providers time and effort. Outsourcing to specialized professionals reduces denials, accelerates authorization processes, and benefits healthcare providers significantly.

Perks & Benefits

Perks of Our Prior Authorization Services 

HelloMDs is a reputable solutions provider for your pre-authorization problems. We understand the demands of our clients and strive to fulfill them appropriately. Here are some perks of our prior authorization facilities. 

  • We make the prior authorization process easy and efficient. 
  • Working with all commercial insurance plans and will submit the required paperwork to obtain authorizations on your behalf. 
  • Our professionals keep track of authorizations to ensure patient care.
  • It reduces the chances of errors and omissions. 
  • We follow up with insurance to get the authorizations approved promptly. 
  • Being an experienced firm, we assure you that your insurance will cover the medication. 
  • Collecting information on the admitting diagnosis, expected length of stay, and proposed treatment plan for inpatient procedures. 
  • We require the procedure codes, diagnosis codes, and dates of service for outpatient procedures. 
  • We submit the request to the insurer and follow up on resolving issues with the authorization. 
  • We help you with the paperwork required to get authorization for certain medical procedures. 
How it works?

Prior Authorization Services from Hello MDs

HelloMDs' prior authorization service helps you get insurance company approval for the treatment, tests, or procedures your doctor has recommended. 

If they approve it, they will issue a Prior Authorization Number (PAN), which you must use when scheduling the appointment with your doctor.

Frequently Ask Questions

Q. What is prior authorization?

Prior authorization is a process where healthcare providers submit a request to the insurance company to determine if a proposed service, treatment, or medication is covered under the patient’s 

insurance policy. 

Q. What happens if the insurance company approves coverage?

If accepted, the insurance company will question payment to the protected or an accepted involved party on behalf of the assured. Insurance claims protect everything from death assistance on life insurance strategies to monotonous and inclusive medical exams. 

Q. Why do certain treatments and procedures need prior authorization?

Pre-authorization must be a way of controlling health care. Your health plan controls paid access to expensive drugs and facilities to make sure the only people who get these drugs or facilities are the people for whom the drug or service is suitable. 

Q. What are the benefits of outsourcing pre-authorization services?
  • Improved Revenue Cycle Management 
  • Decreased Denials 
  • Saving Time and Money 
  • Minimized Data Errors 
  • Improved Patient Care 
Q. What are the benefits of using HelloMDs for prior authorization services?

HelloMDs offers prior authorization services for commercial insurance plans, including managing paperwork, expediting approvals, and resolving authorization issues. We also assist with medical procedure paperwork and information gathering.