Prior Authorization Services for Healthcare
Providers

Prior Authorization Delays Are Costing You Revenue. OneMed Billing’s expert
Credentialing Services streamline provider enrollment, prevent claim denials, and
accelerate approvals—ensuring you get paid on time without administrative
hassles.

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50% Reduction in AR Days

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90% Recovery of Outstanding Claims

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30%+ Increase in Collections

Faster Approvals. Fewer Denials. Maximized Reimbursements.

Prior authorization is a time-sensitive process that directly affects both patient care and provider revenue. Delays and denials can lead to treatment disruptions and financial setbacks. OneMed simplifies prior authorization with a structured, efficient approach-minimizing administrative burdens while improving approval rates.

Is Your Front Desk Costing You Patients and Revenue?

  • Missed Calls = Lost Patients
  • Inefficient Scheduling = Empty Slots
  • Claim Errors = Revenue Loss
  • Capture More Patients - No more missed calls or slow follow-ups
  • Fill Every Slot - Smarter scheduling to maximize capacity
  • Prevent Revenue Leaks - Minimize claim denials and insurance errors

What Values OneMed Billing Can Bring to Your Organization?

Faster Approvals, Fewer Denials

Our dedicated team ensures timely submissions, reducing delays and claim rejections.

Manual Follow-Ups & Expert Intervention

Our team proactively tracks requests and follows up with payers for quicker resolutions.

Specialty-Specific Expertise

From oncology to orthopedics, our team understands payer guidelines for diverse medical specialties.

Revenue Protection

By minimizing authorization errors, we help prevent costly claim denials and lost reimbursements.

Our Step-by-Step Prior Authorization Process

Step 1: Eligibility & Benefits Verification

  • Verify patient insurance coverage and policy details.
  • Identify payer specific prior authorization requirements.
  • Check for any plan limitations or exclusions.

Step 2: Document Compilation & Medical Necessity Review

  • Gather required clinical documents based on payer guidelines.
  • Ensure medical necessity criteria are met before submission.
  • Work with providers to complete missing or additional documentation.

Step 3: Prior Authorization Submission

  • Submit authorization requests through payer portals, fax, or EDI.
  • Ensure accuracy to avoid rework and reduce turnaround time.
  • Track submission status in real-time.

Step 4: Follow-Up & Status Tracking

  • Regular follow-ups with payers to accelerate approvals.
  • Proactive resolution of pending or delayed requests.
  • Transparent reporting on authorization status and expected timelines.

Step 5: Appeals & Resubmissions (If Needed)

  • Identify reasons for denials and submit appeals with supporting documentation.
  • Work closely with payers to overturn incorrect denials.
  • Expedite resubmissions to minimize revenue impact.

Our Step-by-Step Prior Authorization Process

Dedicated Pre-Authorization Specialists

Experienced team handling approvals for multispecialty hospitals, healthcare systems, and physician groups.

Regulatory Compliance & Payer Adherence

Ensuring approvals align with insurance guidelines to reduce authorization-related denials.

Fast & Accurate Processing

Streamlined verification and submission process to prevent treatment delays and claim denials.

Proven Approval Success

High authorization approval rates, minimizing claim rejections and accelerating reimbursement timelines.

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