We provide comprehensive Prior and Retro Authorization services designed to eliminate administrative delays and secure timely approvals. Whether you’re managing high-volume procedures, complex diagnostics, or post-service authorizations, our specialized team ensures the entire process is handled with precision. Partner with us to get reimbursed faster, maintain compliance, and focus more on patient care.
Delayed or denied authorizations can severely impact both patient care and provider revenue. As payer rules become more complex, and timelines stricter, providers face increased pressure to meet documentation demands and manage tight turnaround times. That’s where we come in.
Our experts streamline both prospective (prior) and retrospective authorizations, helping to reduce denials, accelerate approvals, and eliminate revenue leakage caused by missed or late authorizations. From initial data gathering to final payer follow-up, we handle it all.
Getting providers properly credentialed and contracted with payers can feel like an endless maze of paperwork, follow-ups, and strict requirements. We simplify this critical process. Our credentialing and contracting support ensures that your practice is recognized by insurance networks, receives timely reimbursements, and avoids compliance pitfalls.
Whether you manage a large hospital, an urgent care, or a private specialty practice, our credentialing experts ensure providers are enrolled quickly, contracts are negotiated effectively, and renewals are never missed. We partner with you at every stage to keep your revenue cycle moving forward.
Authorization requirements can be confusing and time-consuming. Without expert management, providers often experience preventable denials and cash flow disruptions. At Your Medical Billing Solutions, we modernize this process. Our specialists ensure your practice gets the approvals it needs, on time and in compliance with payer rules, so you can focus on delivering quality care.
Whether you operate a hospital, imaging center, or private practice, our team ensures approvals are secured efficiently, retro requests are managed effectively, and your revenue cycle stays intact.
We confirm coverage requirements upfront to prevent missed authorizations and claim denials.
Our team compiles and submits medical documentation with precision, ensuring payer compliance.
We follow up directly with insurance carriers to resolve pending or delayed authorization requests.
For cases where care was provided before approval, we handle retroactive requests to recover lost revenue.
Our specialists manage appeals tied to authorization errors and implement prevention strategies.
Each provider’s needs are unique. We tailor authorization processes based on specialty, patient mix, and payer requirements.
Stay updated with detailed reports and real-time visibility into authorization progress.
Our process accelerates payer decisions, reduces delays, and improves cash flow.
Stop losing revenue to underpayments and complicated payer negotiations. Partner with us today and let our specialists manage the process.
Working with us means having a trusted partner dedicated to securing timely approvals and protecting your reimbursements. Our authorization services help providers minimize denials, strengthen compliance, and stabilize revenue flow.
Our team understands payer guidelines and medical necessity criteria to ensure accurate submissions.
We adapt processes to your specialty, patient volume, and payer mix for better outcomes.
We go beyond approvals by preventing denial patterns and addressing recurring challenges.
Dedicated account managers provide updates, detailed reporting, and ongoing assistance.
Our authorization services create measurable financial and operational benefits for providers of every size. By managing prior and retro authorizations effectively, we help healthcare organizations reduce denials, recover lost revenue, and maintain compliance with payer policies.
Our experts combine payer-specific knowledge, data-driven strategies, and hands-on support to ensure faster approvals and stronger financial outcomes. From initial verification through appeals, each step is touched with accuracy and accountability, giving your practice both financial protection and peace of mind.
From consultation to continuous optimization, we handle every step with precision and compliance.
Step 1
We begin by carefully reviewing patient coverage details and payer rules to confirm whether prior or retro authorization is required, eliminating the risk of missed approvals.
Step 2
Our specialists compile medical records, clinical notes, and supporting data in line with payer-specific criteria, creating a solid foundation for approval requests.
Step 3
Our experienced team directly engages carriers, submitting requests and aggressively following up to secure faster, more accurate authorization decisions.
Step 4
For cases where services were provided before approval, we manage retroactive requests and, if needed, appeal denials to recover revenue that might otherwise be lost.
Step 5
You receive detailed updates and transparent reports, while we continuously refine strategies to improve approval rates and ensure long-term compliance with payer policies.
