Delegate prior authorization and eligibility verification work to Pier17 team
Navigating the prior authorization process can be complex and time-consuming. Our expert team can handle all your prior authorization needs, freeing up your time to focus on patient care.
Our Prior Authorization Process Includes:
- Confirming patient insurance coverage and eligibility verification
- Confirming provider plan participation
- Determining if pre-authorization is required for any expected diagnostic or procedure
- Obtaining all necessary documentation for prior-authorization approval
- Submitting supporting medical necessity documentation or information, as requested by the insurance carrier
- Coordination of peer-to-peer reviews, as needed
- Submissions of appeals and followthrough to final carrier decision
- Retroactive authorizations for urgent cases or last-minute procedure changes