Prior authorization is a critical step in ensuring that medical services are covered by insurance and reimbursed promptly. At Med Globe Healthcare Solutions, we offer comprehensive prior authorization services designed to streamline this complex process, reduce delays, and enhance patient satisfaction.

Our Prior Authorization Services Include:

  1. Authorization Initiation

We manage the initiation of the prior authorization process to ensure timely approval of necessary services.

  • Request Preparation: Gathering and preparing all required documentation for prior authorization requests.
  • Submission to Payers: Submitting authorization requests to insurance companies accurately and promptly.

 

  1. Comprehensive Documentation

Our team ensures that all documentation is complete and accurate to avoid delays and denials.

  • Medical Necessity Documentation: Compiling relevant clinical information to justify the medical necessity of requested services.
  • Supporting Evidence: Including required test results, physician notes, and other supporting documents.

 

  1. Follow-Up and Communication

We handle all follow-up and communication with insurance companies to ensure timely responses and approvals.

  • Status Monitoring: Tracking the status of authorization requests in real-time and providing updates.
  • Payer Communication: Engaging with insurance payers to resolve any issues and expedite the authorization process.

 

  1. Denial Management

Our team addresses and resolves prior authorization denials to ensure patients receive necessary care without undue delay.

  • Denial Analysis: Reviewing the reasons for denials and gathering additional information as needed.
  • Appeals Process: Preparing and submitting appeals to overturn denials and secure authorization.

 

  1. Patient Coordination

We work closely with your patients to keep them informed and alleviate any concerns regarding their authorization status.

  • Patient Notifications: Informing patients about the status of their prior authorization and any required actions.
  • Assistance and Support: Providing support to patients in understanding their insurance coverage and the authorization process.

 

  1. Customized Solutions

Our prior authorization services are tailored to meet the unique needs of your practice, ensuring maximum efficiency and effectiveness.

  • Specialty-Specific Expertise: Expertise in handling prior authorizations across various medical specialties.
  • Flexible Integration: Seamless integration with your existing practice management systems and workflows.