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We Get Your Approvals—So You Can Focus on Patient Care
Medivantek Billing handles your prior auth requests from start to finish—faster, smarter, and with fewer denials.
What Is Prior Authorization — And Why It Matters
Prior authorization is your insurance payer’s way of saying, “Hold on — we need to approve this service before it happens.” It’s meant to ensure medical necessity and control costs, but it also creates delays, confusion, and risks for your practice and patients. Without smooth, accurate prior auth, claims get denied, appointments are delayed, and patients get frustrated. You lose revenue and waste precious staff time chasing approvals through complex, ever-changing payer rules.
What Makes Prior Auth So Painful?
- Delayed approvals that hold up care and invalid authorizations.
- Denied claims due to missing authorization
- Confusing payer rules and changing forms
- Wasted staff hours on hold or in portals
- Disrupted scheduling and patient dissatisfaction
- Weeks-long delays that stall patient care and scheduling
- Delayed approvals and invalid authorizations
We Get Your Approvals—So You Can Focus on Patient Care
How Medivantek Medical Billing Solves the Prior Auth Problem
- All required clinical info is gathered and submitted correctly
- Payer-specific forms and submission portals are handled efficiently
- Submission via all payer portals, fax, and direct calls — we pick the fastest channel
- Prioritization of urgent and STAT authorizations
- Follow-ups are completed on time
- Denied auths are ( investigation) appealed with supporting documentation
Specialties We Cover for Prior Auth
We maintain an up-to-date, comprehensive list of all CPT and HCPCS codes that require prior authorization across specialties — ensuring nothing slips through the cracks. Our deep payer knowledge means your requests are accurate and complete every time.
We manage prior authorizations for:
EMR/EHR & Portal Integration
We use and integrate with all major systems, including:
- Availity
- CoverMyMeds
- Navinet
- Kareo
- Athenahealth
- NextGen
- AdvancedMD
- eClinicalWorks
Don’t Let Delays Block Your Patient Care
One missed prior authorization can lead to denied claims, delayed treatments, and patient frustration. Let Medivantek billing handle the complex, time-consuming prior auth process—with payer-specific precision, consistent follow-ups, and fast approvals that keep your care plans on track.
Frequently Asked Questions (FAQs)
Do you contact insurance companies directly?
Yes. Our team handles all communication—portal submissions, faxing, and live phone calls—to ensure nothing falls through the cracks.
Can you manage urgent and STAT prior authorizations?
Absolutely. We specialize in fast-tracking urgent requests and immediately notifying you once approved—keeping time-sensitive treatments on schedule.
How do we share clinical information with your team?
We support secure fax, encrypted email, and EHR/PMS integrations—making it easy to collaborate without disrupting your current workflow.
What happens if an authorization is denied?
We handle the entire denial management process, including gathering supporting documentation, writing appeals, and resubmitting until approved.
How do we track the status of prior auths?
You’ll receive daily or real-time updates via email, shared drives, or directly in your PM system—complete with a full audit trail for compliance.
Do you support behavioral health authorizations?
Yes. We regularly process mental and behavioral health PA requests, including therapy sessions, psychological testing, and medication approvals.
How soon can you start?
We’re ready to go within 2–3 business days after onboarding. Once provider details are received, we begin processing your authorizations right away.
