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AUTHORIZATION SPECIALISTS
Prior Authorization Services That Keep Care and Payments Moving
Waiting on insurance approvals slows down treatment and puts revenue at risk. Our prior authorization services secure payer approvals quickly and correctly, so your patients get timely care and your claims get paid without denials.
Prior Authorization Services for Healthcare Providers
Few tasks frustrate a practice more than chasing insurance approvals. Long hold times, changing payer rules and missing paperwork can push back procedures and leave your team buried in follow-ups.
Cures Medical Billing takes that burden off your staff. Our authorization specialists manage every pre-authorization request from start to finish, making sure each one is complete, accurate and submitted on time.
The result is fewer claim denials, fewer rescheduled appointments and a steadier cash flow for your practice.
Whether you need a handful of approvals a week or hundreds a month, we scale with your volume and keep you updated at every step.
The Role of Prior Authorization in Medical Billing
Prior authorization in medical billing confirms that a payer agrees a service is medically necessary and covered before it is performed. Skip it, and even a perfectly coded claim can be denied. Most payers require approval for services such as:
- Advanced imaging, including MRI, CT and PET scans
- Inpatient and outpatient surgeries
- Specialty and high-cost medications
- Durable medical equipment (DME)
- Physical, occupational and speech therapy plans
- Out-of-network and experimental procedures
Our Prior Authorization Process
A proven five-step workflow that turns slow approvals into predictable results.
Coverage & Eligibility Check
We first confirm the patient’s insurance eligibility and benefits so every request starts with accurate, up-to-date information.
Requirement Identification
Our team reviews payer policies to identify which procedures, tests or medications need prior authorization or a referral.
Clinical Submission
We gather supporting documentation and submit complete requests through payer web portals, fax or your EHR system.
Active Follow-Up
Every request is tracked in real time. We contact payers and case managers directly to speed up urgent or high-priority cases.
Approval Recording
Approved authorization numbers, dates and visit limits are entered into your billing system so claims go out clean.
Prior Authorization Support for Every Specialty
Each specialty faces its own authorization challenges, from therapy visit limits to imaging and surgical approvals. Our team knows the payer rules that apply to your field and prepares every request accordingly.
That specialty focus means faster insurance approvals, fewer claim denials and smoother reimbursement for your practice.
Internal Medicine Billing
OBGYN Billing
Physical Therapy Billing
Chiropractic Billing
Occupational Therapy Billing
Speech Therapy Billing
Pediatrics Billing
Naturopathy Billing
Why Prior Authorization Matters for Your Practice
A well-managed prior authorization process does more than prevent denials. It makes your entire revenue cycle more efficient and protects both your practice and your patients from unexpected costs.
- Cuts administrative errors and costly rework
- Protects you from losses on non-covered services
- Builds patient trust with fewer billing surprises
- Keeps your practice compliant with payer guidelines
- Prevents treatment delays and last-minute cancellations
With approvals secured upfront, you can treat patients confidently, knowing each service is covered and payable.
Complete Support for Prior and Retro Authorizations
Prior authorization is approval from the patient’s insurer before a service, procedure or medication is provided. Retro authorization (retrospective authorization) is requested after care has been given, usually after an emergency or when approval was missed. We handle both, submitting the clinical records payers need to approve and pay the claim.
When you partner with Cures Medical Billing, you get:
- Fast, accurate handling of every authorization request
- Less paperwork and phone time for your in-house staff
- Full compliance with payer-specific requirements
- Clear status updates and open communication
- End-to-end prior and retro authorization support
- A dedicated specialist who knows your payers
We treat authorization as the first step of a healthy revenue cycle, not an afterthought.
Hassle-Free Prior Authorization Starts Here
Every day an approval is delayed costs your practice time and money. Our authorization team keeps requests moving, follows up until a decision is made and makes sure your claims are backed by valid approvals.
Contact Cures Medical Billing today to see how our prior authorization services can prevent denials and strengthen your revenue cycle.
Prior Authorization Services FAQs
What are prior authorization services?
Prior authorization services manage the process of getting insurance approval before certain treatments, procedures or medications are provided. This confirms medical necessity and coverage, preventing denials and surprise patient bills.
Which services usually require prior authorization?
Common examples include MRI, CT and PET scans, surgeries, specialty medications, durable medical equipment and therapy plans. Requirements vary by payer and plan, so we check each case individually.
What is the difference between prior and retro authorization?
Prior authorization is obtained before a service is performed. Retro authorization is requested after the service, often following an emergency, and requires submitting clinical documentation for approval after treatment.
How does Cures Medical Billing manage the authorization process?
We verify eligibility, identify authorization requirements, submit complete clinical documentation, follow up with payers and record approvals in your billing system, handling every step for you.
How long does it take to get a prior authorization approved?
Timelines depend on the payer and service. Many routine requests are approved within a few business days, while urgent cases can be expedited. Our active follow-up helps shorten wait times.
How does prior authorization help reduce claim denials?
Missing or expired authorizations are a leading cause of denials. By securing and tracking valid approvals before services, we ensure claims meet payer requirements from the start.
Can you handle authorizations for multiple specialties and payers?
Yes. Our team supports more than 50 specialties and works with commercial, Medicare and Medicaid plans, following each payer’s specific rules.
How do I get started with your prior authorization services?
Simply contact us for a free consultation. We’ll review your current workflow, set up a customized authorization process and start managing requests for your practice.