Prior Authorization Services

Prior Authorization (PA), sometimes referred as “pre-authorization,” is a requirement from your health insurance company that the doctor should obtain approval from your plan before it will cover the cost of a specific medicine, medical device and/or procedure.

Medical billing prior authorization involves payers covering prescribed services before they are rendered, providing protection for healthcare providers and patients. Medquik Solutions pre-authorization representatives are well trained with the most up-to-date payor requirements so that the process is more efficient and prompt.

Prior Authorization services in healthcare is a step in the revenue cycle management process. This comes after the Insurance eligibility verification process. The output from the benefit verification process forms the base for the prior authorization process. Prior Authorization in Medical Billing helps the healthcare organization in an appropriate payment collection for the services rendered, reducing denials and follow-up on the same.