Streamlined prior authorization management that eliminates treatment delays.
Our comprehensive prior authorization services ensure your treatments are approved quickly and efficiently, with expert handling of complex requests and appeals.
We identify authorization requirements, prepare detailed requests, submit to payers, track status, and communicate approvals to your scheduling team for seamless patient care.
With our proactive prior authorization management, you can eliminate treatment delays, reduce administrative burden, and ensure continuous revenue flow from authorized services.
We combine detailed clinical understanding with payer expertise to ensure rapid authorization approvals and minimal treatment delays.
Every authorization request undergoes clinical review and payer-specific compliance checks before submission to ensure maximum approval rates.
WHAT'S INCLUDED
Every aspect of authorization handling covered for maximum efficiency and approval rates.
Prior authorization identification
Authorization request preparation
Payer submission and tracking
Status monitoring and follow-up
Approval documentation management
Expedited request handling
Clinical documentation support
Appeal preparation and submission
Renewal tracking and management
Payer-specific requirement compliance
Patient communication coordination
Performance reporting and analytics
OUR PROCESS
Eight-step process ensuring complete and efficient authorization management.
PERFORMANCE METRICS
Measurable results that drive your revenue cycle success.
>90%
Approval Rate
<72 hours
Average Turnaround Time
<24 hours
Expedited Request Handling
100%
Renewal Compliance
CHALLENGES WE SOLVE
We handle the complexities so you don't have to.
Complex payer-specific requirements
Lengthy approval processes
Incomplete clinical documentation
Expedited request deadlines
Renewal tracking complexity
Patient scheduling delays
Appeal process management
FAQ
Answers to common questions about our prior authorization services.
Our standard turnaround time is 72 hours for routine requests and 24 hours for expedited requests. Complex cases requiring additional clinical information are completed within 5 business days.
Yes, we prepare and submit appeals for denied authorizations with detailed clinical justification. Our appeal success rate exceeds 75% for medically necessary services.
We maintain a comprehensive tracking system that monitors all authorization expiration dates and initiates renewal requests 30 days in advance to prevent service interruptions.
We work with your team to gather necessary clinical documentation including treatment plans, medical necessity letters, and supporting diagnostic reports. Our team understands specialty-specific requirements.
Expedited requests are prioritized and submitted within 2 hours of receipt. We maintain direct communication with payer representatives for urgent cases to ensure timely approval.
Schedule a free consultation to see how Aethera can streamline your prior authorization process.
RELATED SERVICES
Additional services that complement our prior authorization expertise.