Medical Credentialing Services

Prior Authorization Services

Getting prior authorization from insurance companies can often be one of the most frustrating parts of running a medical practice. Delays, denials, and endless paperwork can slow down patient care and disrupt your cash flow. At Medivanced, we simplify the entire process with our comprehensive Prior Authorization Services, helping you secure approvals quickly and efficiently while ensuring compliance with payer requirements.

We handle the complex communication between your practice and the insurance company so your staff can focus on what matters most delivering quality care to your patients.

Our Prior Authorization Process

1. Patient and Insurance Verification

We begin by verifying the patient’s insurance details, policy coverage, and benefit eligibility to ensure the request is valid.

2. Documentation Review

Our experts review the provider’s clinical documentation to ensure it meets the payer’s requirements for medical necessity.

3. Submission to Payer

We prepare and submit the prior authorization request to the insurance company through their approved channels — whether electronic, fax, or portal.

4. Follow-Up and Status Tracking

Our team continuously tracks the request, follows up with payers, and addresses any additional information requests to avoid unnecessary delays.

5. Approval Notification

Once authorization is approved, we notify your team immediately with complete details, including authorization numbers, validity dates, and approved services.

6. Denial Management and Appeals

If an authorization request is denied, we review the reason, gather supporting documentation, and resubmit or appeal promptly to ensure your patients get the care they need and your practice receives proper payment.

Why Prior Authorization Is So Important ?

Insurance payers require prior authorization to control healthcare costs and ensure that treatments are medically necessary. However, for healthcare providers, these requirements often create administrative burdens that lead to delayed treatments and cash flow interruptions.

Medivanced takes that burden off your shoulders. Our experienced authorization specialists work proactively to prevent errors, speed up approvals, and improve patient satisfaction. We understand payer rules, know how to communicate effectively with insurers, and ensure every request is submitted right the first time

Without proper credentialing, providers may face claim denials, payment delays, or even exclusion from insurance panels. That’s why having a reliable credentialing partner like Medivanced is essential for keeping your practice financially stable and legally compliant.

Benefits of Our Prior Authorization Services

Faster Approvals

Our proactive approach reduces turnaround time, ensuring your patients receive care without unnecessary delays.

Reduced Administrative Workload

Your staff can focus on patient care instead of spending hours on the phone with insurance companies.

Fewer Denials and Rework

By submitting accurate and complete documentation from the start, we minimize the risk of denials and re-submissions.

Compliance and Accuracy

All requests and documentation are handled in line with HIPAA and payer-specific regulations.

Transparent Communication

We provide real-time updates and detailed reports on all authorization requests so you can track progress easily.

Medical Specialties We Support

Primary Care
Cardiology
Radiology and Imaging
Orthopedics
Gastroenterology
Oncology
Neurology
Pain Management
Behavioral Health
Physical Therapy

Why Choose Medivanced

At Medivanced, we combine technology, expertise, and personalized support to make prior authorization simple and stress-free. Our team of authorization specialists ensures that every request is submitted with complete and accurate information, helping you avoid the common pitfalls that lead to denials and payment delays.

We stay updated with payer policy changes, use automated tools to track authorizations, and maintain close communication with your staff to ensure seamless coordination. With Medivanced, you can trust that your prior authorizations are in expert hands.

Let’s Make Approvals Easier Together

Don’t let administrative delays stand between your patients and the care they need. Partner with Medivanced and experience a smoother, faster, and more reliable prior authorization process.

Contact Medivanced today to learn how our Prior Authorization Services can improve your workflow, reduce denials, and enhance patient satisfaction.

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