Verification & Authorization

Prior authorization is crucial for practices to submit and recover approved claims, optimizing cash flow. Inefficient prior authorization processes can lead to increased denials and decreased revenue. Healthcare providers must verify each patient’s eligibility and benefits before their visit to ensure payment for services rendered. It’s estimated that up to 65% of claims are denied due to patient ineligibility for the services provided. Unfortunately, prior authorization remains one of the most underutilized processes in the revenue cycle.

Streamlining prior authorization is essential for minimizing claim denials and maximizing income.

 Prior-Authorization Verification Services

Comprehensive Prior-Authorization Solutions

Our services for prior-authorization verification include:

Determining Authorization Requirements: Assessing what is needed for prior authorization.

Submitting Authorization Documents: Handling all paperwork and submissions to insurance companies.

Authorization Follow-Up: Monitoring the status of authorization requests.

Rejection Management: Informing you of any rejections and resolving authorization issues promptly.

Optimize your workflow and ensure smooth operations with our efficient prior-authorization verification services.

Why Choose A Sole RCM for Eligibility Verification and Prior Authorization?

Cost Savings: Significantly reduce operational expenses.

Faster Care Delivery: Streamline processes to improve service speed.

Fewer Claim Denials: Minimize the risk of rejected claims.

Increased Cash Collections: Boost revenue by reducing bad debts.

Business Growth: Focus on expanding your practice.

Experience Unmatched Technology with A Sole RCM

At A Sole RCM, we leverage advanced automated workflows to eliminate patient eligibility denials. Our comprehensive services ensure a seamless experience for both providers and patients. Here’s what sets us apart:

Automated Eligibility Checks: Thorough verification before services are rendered.

Real-Time Notifications: Immediate updates on patient responsibilities, co-pays, and other dues.

Aggressive Verification System: Ensure all patient statuses are confirmed accurately and promptly.

By choosing A Sole RCM, you are opting for a hassle-free, efficient, and effective solution that supports both your practice and your patients.