Every delayed auth is delayed revenue. The follow-up cost often exceeds the procedure value.
At 5-15 follow-up calls per authorization, your team burns hours on a single auth that may cover a $200 procedure. We handle prior auth follow-up inside your first-party workflows — status checks, escalations, and approvals — so your staff focuses on care coordination, not hold queues.
The prior auth follow-up trap.
Getting the auth submitted is only half the battle. The other half is the follow-up cycle — 5 to 15 calls per authorization, each requiring hold time and manual documentation. For practices handling hundreds of auths monthly, the cumulative time is staggering.
Persistent follow-up without the headcount.
The agent calls payers on a defined cadence — checking auth status, capturing updates, and logging results. No manual calendar reminders. No calls slipping through.
When a payer misses their stated turnaround time, the agent calls back, references the prior interaction and reference number, and requests expedited review.
Once approved, the agent captures the authorization number, effective dates, and any conditions — logged directly to your system so scheduling and billing can proceed immediately.
If an auth is denied, the agent captures the reason, documents the denial, and flags it for your clinical team to determine if a peer-to-peer review or appeal is warranted.