In the healthcare revenue cycle, authorization is a crucial step that ensures insurance payers approve medical procedures or treatments before they are performed. Without proper authorization, claims can be denied or delayed, resulting in a loss of revenue and patient dissatisfaction. At Thrive Technologies, we manage the entire prior authorization process to streamline approvals, reduce administrative burdens, and help healthcare providers avoid costly claim rejections. Our expert team handles every aspect of authorization, from documentation to communication with payers, allowing healthcare professionals to focus on delivering care.
Before a service is scheduled, we review the patient’s insurance plan to identify any procedures or treatments that require prior authorization. This proactive approach ensures that the authorization process is initiated well in advance of the service date.
The authorization request is submitted electronically or through the payer’s preferred method. We include all required documentation and medical justification to support the request, ensuring the payer has everything needed to make a decision.
Our team gathers all relevant medical records and supporting documentation from the healthcare provider, including physician notes, treatment plans, and diagnostic results. We ensure that the submission meets the payer’s specific requirements to avoid delays or rejections.
We track the progress of each authorization request, following up with the payer regularly to ensure timely approval. If the payer requests additional information, we gather the necessary details and resubmit the request promptly.
