Prior Authorization Services
Transform patient access with managed teams delivering systematic authorization processing and approval optimization for healthcare organizations.
99.7% Accuracy
The Same Work. Higher Accuracy. A Fraction of the Cost.
We run recurring finance, data, and operations processes with disciplined governance, stable delivery, and transparent economics that outperform both internal teams and legacy vendors.
Savings vs. Incumbent Vendors
Legacy BPOs charge premium rates for mid-market finance and operations work—often double what the same governance, SLAs, and outcomes should cost. We deliver equivalent execution at roughly half the price. The economics are clear and immediate.
Savings vs. Internal Operations
Internal teams carry fully loaded costs that most companies underestimate—salary, benefits, management time, training, software, HR, and audit requirements. We perform the same work at a fraction of that cost. Most clients reduce fully loaded internal expense by 70–80%.
Accuracy Across Millions of Transactions
High-volume operations require repeatability, precision, and audit-ready reporting. Our delivery model maintains 99.7% or higher accuracy across cycles and millions of transactions.
What Actually Matters
In finance, data, and operations workflows, only two metrics matter: accuracy and cost per result. Everything else is overhead. We aim to set the clearing price for the optimal mix of these metrics and deliver the lowest-overhead execution model.
Accuracy
Errors compound. A single mistake in reconciliation, claims, data processing, or reporting creates rework, audit exposure, and lost trust. We maintain 99.7%+ accuracy because the workflows are SOP-based, governed, and measured daily. Accuracy is the baseline.
Cost Per Result
Most providers charge for effort: hours, headcount, activity. We charge for output: processes completed and delivered. With no layers or margin stacking, the cost per result is a fraction of incumbent alternatives. Lower input cost, same or better output. That is the math.
Prior authorization backlogs affecting patient treatment timelines and care delivery schedules
Manual authorization requests consuming clinical staff time and preventing patient care focus
Approval delays impacting patient care and satisfaction while affecting treatment outcomes
Insurance coordination creating administrative burden and operational inefficiencies
Authorization tracking preventing efficient care delivery and patient experience optimization
How We Help
Our managed teams provide comprehensive prior authorization including request preparation, clinical documentation, insurance coordination, status tracking, and appeal processing. We ensure systematic processing while maintaining approval accuracy and adapting to varying payer requirements across healthcare organizations.
Key Capabilities
Complete prior authorization management and approval coordination
Clinical documentation and insurance communication systems
Status tracking and appeal processing protocols
Patient communication and care coordination integration
Structure Delivers Results
Authorization Excellence
99.7% approval accuracy through systematic processing combining automated validation with expert clinical documentation and payer coordination
Patient Care Efficiency
Structured authorization ensuring optimal patient access while maintaining comprehensive clinical documentation and approval standards
Healthcare Expertise
Specialized teams experienced in prior authorization insurance coordination and patient access best practices
Payer Integration
Seamless coordination with all major insurance payers and systematic quality control throughout authorization processes
Industry Applications
Hospital systems managing multi-department authorization processing across surgical and specialty clinical services
Medical groups requiring provider authorization coordination and specialty-specific processing optimization
HealthTech platforms building automated authorization workflows for digital health and treatment coordination
Regional healthcare networks standardizing authorization practices across affiliated clinical facilities
Digital health platforms integrating prior authorization for telemedicine and virtual care delivery optimization
Pharmaceutical companies managing drug authorization processing and specialty medication coordination workflows
Expected Outcomes
Rapid prior authorization with zero treatment delays
99.7% approval accuracy across all insurance payers
Enhanced patient access and care delivery optimization
Reduced authorization processing operational costs
Improved patient satisfaction and treatment outcomes
Streamlined clinical workflow efficiency