Authnet’s Precertification Services Overview

Why PreAuthorization?

You have more than enough to worry about at your medical practice. From caring for patients to keeping up with daily tasks and attending to employee matters, your medical practice is sure to have had the misfortune of dealing with medical backlogs. If this is or is becoming the case for you and your medical practice, let AuthNet’s precertification services take the stress out of the equation so you can get back to your pressing matters. But how does AuthNet deliver unsurpassed preauthorization? Take a look below for an overview of the precertification services we provide.

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How We Can Assist

Our team of dedicated preauthorization experts is well-equipped and experienced to handle your medical prior authorization needs. We can handle nearly any volume of insurance precertification claims, and are here to assist with streamlining your needs. You won’t need to follow up with payers once the process has been completed; we handle all of that. We know that this phase can be stressful and time-consuming, which is why we proudly take this role on, allowing you to recoup your valuable time and resources, as well as not be distracted from caring for your patients and tending to other daily tasks and to roll with the punches of unforeseen circumstances.

With strict attention to detail, your prior authorization specialist will employ the following to ensure your preauthorization needs are met:

  • Details of plan, policy, and/or insurance ID number
  • Policy effectiveness and termination date(s)
  • Patient’s employer information
  • Co-insurance or co-pay effectiveness and in- and out-of-network deductible correctness
  • Out-of-pocket expenses
  • The maximum number of benefits each patient is allowed, pertaining to visits per year and total lifetime amount
  • Age of the patient or limitation of services and plan exclusions

AuthNet executes the aforementioned steps through a series of strict protocol. First, after you note and record appropriate demographic information, diagnosis, and CPT codes via our secure portal, you’ll then share these demographics and free tickets with us via another secure FTP. Finally, you’ll provide Authnet with login access to your PM/EHR system through another secure and remote location. After that, it’s all in our hands. Curious about how the system and our entire process works? Don’t hesitate to reach out to us today for a free demo and or with any questions, comments, or concerns. As always: Choose quality. Choose AuthNet.