Coverage verified. Authorizations cleared.

No surprises. No write-offs.

Eligibility and prior-auth failures show up as denied claims weeks later. Our specialists do the verification before the visit — and the PA submissions before clinical teams need them.

1. 01

   Eligibility verification

   Real-time and batch eligibility through Availity, Waystar, payer portals. Active coverage, copay, deductible, plan limits.

2. 02

   Benefits investigation

   Detailed benefits checks for high-cost services — surgery, imaging, infusions, DME.

3. 03

   Prior-auth submission

   PA paperwork, clinical documentation packaging, payer-specific forms — submitted with first-pass approval as the goal.

4. 04

   Status follow-up

   Daily PA pipeline review, payer outreach, escalation when timelines slip.

5. 05

   Peer-to-peer scheduling

   Coordinating P2P calls between your clinicians and payer medical directors when authorizations are denied.

6. 06

   Re-authorization tracking

   Authorization expiration calendar, renewal submissions, no-lapse coverage for ongoing care plans.