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$
USD
I will handle prior authorizations and eligibility checks
About this Gig
PRIOR AUTHORIZATION & INSURANCE ELIGIBILITY VERIFICATION EXPERT
Are you a healthcare provider, clinic, or billing company struggling with claim denials due to missing prior authorizations or incorrect eligibility checks? I'm here to help!
With hands-on experience in US medical billing, I provide fast, accurate, and reliable Prior Authorization and Insurance Eligibility Verification services so your claims get paid the first time.
WHAT I OFFER:
Insurance Eligibility & Benefits Verification
- Active coverage confirmation
- Deductibles, co-pays & co-insurance
- In-network vs out-of-network benefits
- Referral & authorization requirements
MY PROCESS:
- Consultation - review your needs
- Submit/verify with payers
- Track approval status
- Deliver detailed report
- Ongoing support
WHY CHOOSE ME?
- Reduce claim denials caused by auth errors
- Fast turnaround most verifications within 24 hours
- Detailed verification report provided
- HIPAA-compliant process
- Clear communication throughout
- 100% accuracy focused
Message me before ordering to discuss your spec
Purpose:
Business
My Portfolio
FAQ
Q: What documents are needed for verification?
I typically need the patient's insurance card (front/back), date of birth, and provider NPI/tax ID. For prior auths, I may also need relevant clinical notes or the CPT/procedure code from your office.
Q: How quickly can you complete a verification or authorization?
Standard eligibility checks are usually completed within 24 hours. Prior authorizations depend on the payer's turnaround time, but I follow up promptly and can prioritize urgent/expedited requests when needed.
Q: Do you work with both medical and mental/behavioral health providers?
Yes, I handle eligibility verification and prior authorizations for both general medical practices and mental/behavioral health providers, including familiarity with specific behavioral health billing codes.
Q: What insurance types do you verify?
I verify Medicare, Medicaid, and most major commercial insurance plans, checking active coverage, deductibles, co-pays, co-insurance, and in-network vs out-of-network benefits.
Q: What happens if a prior authorization is denied?
I review the denial reason, correct any missing information, and resubmit the request promptly. I'll also notify you right away so your team can plan accordingly.
Q: Can you handle urgent or same-day requests?
Yes, I can prioritize urgent/expedited authorization requests when time-sensitive care is needed. Just flag it as urgent when you place your order.
