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Prior Authorization Services

Outsource Robust Prior Authorization Services

Streamline your prior authorization process with our integrated solutions. Enjoy shorter processing times, higher approval rates, and fewer claim denials.

We understand the operational intricacies of managing prior authorizations in healthcare. Our services are designed to streamline this crucial process, reducing administrative overhead and expediting patient access to necessary care. We offer system-integrated solutions that not only harmonize with your existing infrastructure but also enhance its efficiency. With us, you gain the advantage of shorter processing times, higher approval rates, and a significant decrease in claim denials.

Our advanced offerings, such as real-time status tracking, predictive analytics, and rule-based decision-making capabilities, provide a competitive edge. These tools equip you with data-driven insights for informed decision-making and proactive management of authorizations. We work alongside you, not just as a service provider, but also a strategic partner dedicated to operational excellence and patient satisfaction. Our commitment to HIPAA-compliant data security, waste reduction, and process optimization places us at the forefront of prior authorization services. Partner with us to enhance your operations and transform your prior authorization process.

Client Success Stories

O2I Provided Accurate and Reliable Patient Demographics Entry Services for a Georgia-based Healthcare Provider

Accurate and Reliable Patient Demographics Entry for a Healthcare Provider in the US

A Georgia-based medical billing company partnered with us, resolving their quality issues by processing 1200 claims/month with 98% accuracy, thereby rapidly clearing their backlog.

Read more
O2I Keyed in Demographic Details For a Texas-based Client

We Processed Over 17000 Medical Claims a Month for a Texas-based Client

A Houston-based medical billing company resolved issues of employee turnover and cash flow delays by outsourcing to O2I, saving 45% in operational costs and improving claim processing efficiency.

Read more


Clients Speak

I want to thank you for the professional way in which you are managing the project and meeting our deadlines.

Medical Company, UK

Prior Authorization Services We Offer

Enhance your revenue cycle management efficiency by leveraging our services, designed to reduce claim denials and streamline your billing process. With our expertise, experience smoother workflows and improved financial outcomes.

  • Pre-authorization Approval

    Pre-authorization Approval

    Leveraging advanced software, our team expedites the pre-authorization approval process, improving claim acceptance rates. Outsourcing this service to our prior authorization company allows you to focus on patient care.

  • Verification Of Medical Necessity

    Verification Of Medical Necessity

    Our team of clinical experts ensures accurate justification of treatments, reducing denials and improving reimbursement rates. Our healthcare prior authorization services prioritize patient care and cost-effectiveness.

  • Insurance Coverage Checking

    Insurance Coverage Checking

    Utilizing automated tools, our team confirms patients' coverage details quickly and accurately, reducing administrative burden. Outsource your coverage checking to our insurance authorization company.

  • Patient Eligibility Verification

    Patient Eligibility Verification

    Our automated eligibility verification process ensures quick and accurate results, improving efficiency and patient satisfaction. Rely on our prior authorization service providing company for accurate eligibility verification.

  • Formulary Exceptions

    Formulary Exceptions

    Our team ensures patients receive necessary medications, improving patient satisfaction. Our prior authorization solutions prioritize patient health and medication access.

  • Appeals and Follow-ups

    Appeals and Follow-ups

    Our expert negotiators effectively manage denied claims, improving your reimbursement rates. Trust our medical insurance prior authorization services to secure your reimbursements.

  • Documentation And Reporting

    Documentation And Reporting

    Our state-of-the-art software maintains a comprehensive and accessible record of all transactions, ensuring compliance. Outsource your documentation and reporting to our prior authorization services.

  • ICD-10 Coding

    ICD-10 Coding

    Our expert coders ensure accurate ICD-10 coding, improving claim acceptance rates. Trust our team with your ICD-10 coding needs.

  • Tracking Services

    Tracking Services

    Our real-time tracking service provides transparency and identifies bottlenecks, improving efficiency. Trust our prior authorization in medical billing for your tracking needs.

Why Choose Us for your Prior Authorization Company?

By choosing us as your service provider, you are entrusting your needs to an industry leader with top-notch technology and an experienced team. We offer a seamless service, integrating advanced AI technology with expert human touch, ensuring your billing process is efficient, accurate, and contributes to improved financial health of your institution.

  • Streamlined Workflow

    Our services improve operational efficiency by streamlining the prior authorization process, reducing administrative burden and allowing your team to focus on core healthcare services.

  • Reduced Claim Denials

    By ensuring accurate and timely authorizations, we significantly reduce the rate of claim denials, leading to a smoother billing process and improved revenue cycle management.

  • Advanced Technology Integration

    We leverage cutting-edge AI technology to automate repetitive tasks, increasing process speed and accuracy, while reducing the likelihood of human error.

  • 24/7 Support

    Our team provides round-the-clock support, ensuring prompt responses to authorization requests, leading to improved patient satisfaction and reduced treatment delays.

  • Experienced Team

    Our team of experts with deep industry knowledge ensures that the complex process of prior authorizations is handled efficiently and correctly.

  • Compliance Assurance

    We stay abreast with the ever-changing healthcare regulations and insurance policies, ensuring your institution remains compliant, reducing the risk of penalties or fines.

Software We Use

AdvancedMD  NextGen Healthcare  Epic Systems CareCloud

Diverse Clients We Serve

We assist a diverse range of healthcare providers including hospitals, specialty clinics, and primary care clinics, as well as insurance companies. Our services streamline the complex process of obtaining insurance approvals, resulting in reduced claim denials, improved cash flow, and a more efficient medical billing process for our clients.

 Healthcare Providers
 Health Insurance Companies
 Law Firms and Legal Services
 Life Sciences and Pharmaceutical Companies
 Government Healthcare Agencies
 Independent Medical Review Organizations (IMROs)
 Research Institutions and Universities
 Telehealth and Remote Healthcare Providers
 Occupational Health Services
 Medico-Legal Services
 Third-Party Administrators (TPAs)
 Pharmacy Benefit Managers (PBMs)

Additional Services We Offer

Medical Transcription Services

We help reduce operational costs and errors, improving patient record accuracy and compliance, allowing more focus on patient care.

Medical Billing and Coding Services

Our experts minimize claim denials and increases revenue, with experts handling complex coding, letting providers concentrate on healthcare delivery.

Revenue Cycle Management Services

Leverage our services to improve cash flow and reduce account receivable days. Work with our specialists to optimize financial operations for healthcare providers.

Healthcare Claims Adjudication Services

Let us help accelerate claim processing, reduce errors, and enhance efficiency, benefiting insurers and providers with smoother operations and satisfied policyholders.

Outsource Prior Authorization Services to Us

Our services are meticulously designed to improve efficiency, reduce administrative burden, and enhance your revenue cycle management. We use advanced AI technology to automate the prior authorization process, seamlessly integrating with your existing system. Our experienced team handles the complexities of obtaining insurer approvals, ensuring a smoother billing process and reduced claim denials.

Our multidisciplinary offerings cater to a broad spectrum of stakeholders within the healthcare industry - from hospitals and specialty clinics to insurance companies. We not only bring expertise in prior authorizations, but also a comprehensive understanding of the healthcare industry's nuanced needs and challenges. By partnering with us, you gain access to a team that is as committed to your success as you are. We help you navigate the complexities of healthcare administration, allowing you to focus on what you do best - providing exceptional patient care.

Ready to enhance your revenue cycle management? Let's streamline your administrative tasks and focus on exceptional patient care together.

Contact Us


Decide in 24 hours whether outsourcing will work for you.


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Our Customers

  • Movement Mortgage
  • Alcon
  • ARI
  • Maximus
  • Redwood E-Learning Systems

Frequently Asked Questions (FAQs)

What are the medical specialties for which your company provides authorization support?

We provide authorization support for a broad spectrum of medical specialties, such as radiology, psychiatry, endocrinology, and dermatology, among others.

Can you estimate the time required for pre-authorization in your workflow?

The time required for pre-authorization in our workflow ranges from 24 to 72 hours, contingent upon the intricacy of the case and the response time of the payer.

What criteria should be prioritized when deciding on a pre-authorization service provider?

When deciding on a pre-authorization service provider, prioritize criteria like their expertise in your field, their processing time, their success rate in obtaining authorizations, and their pricing structure.

What kind of financial investment is expected when engaging an outsource pre-authorization service?

The financial investment for engaging an outsource pre-authorization service can vary significantly, depending on factors like the number of cases, the medical specialty, and the case complexity. However, it is usually cost-effective compared to having an internal team handle the process.

How can outsourcing of the pre-authorization process contribute to the growth and efficiency of my business?

Outsourcing of the pre-authorization process can contribute to the growth and efficiency of your business by allowing your staff to concentrate on patient services, minimizing claim denials, and enhancing revenue collection.