Prior Authorization

In the ever evolving landscape of health insurance reimbursement, prior authorizations (sometimes referred to as pre-authorization or pre-certification) is regarded as one of the more challenging issues. As operational functions become increasingly complex, underutilizing your in-house staff can be detrimental to your financial health.

Stop worrying and trust GoTelecare to give you quick relief from all your clerical headaches with a comprehensive range of powerful prior authorization solutions.

We act as the perfect facilitator between you & the Payor, eliminating all errors in the process of precertification. Our entire gamut of practice management services include a highly synchronized prior approval process that involves collection of information of patients from providers for obtaining prior authorization for outpatient as well as inpatient procedures. In addition, we also extend our support with fast and accurate patient eligibility verification that helps prevent many nasty surprises afterwards for both the patient and the physician.

As a disciplined vendor, we aim to centralize practices, streamline them, reduce errors and improve overall efficiency. Our dedicated personnel are experts in practice management, helping in creating the perfect liaison among insurance companies, healthcare service providers and patients. We are the preferred vendor for two of the leading medical insurance companies in the country for claims adjudication. This has lent us a unique edge in complying with Payor guidelines better than others and helping our clients drastically reduce claim denials and rejections.

Highlights

• Full range Prior Authorization service (Auth Request + Follow-up + Approval)
• Over 28 specialties covered  including radiology prior authorization, DME, HME, etc. 
• Notifying the pharmacy to run the Rx (For medication Prior Authorization)
• Scheduling drug delivery with the specialty pharmacy
• 100% HIPAA compliance
• Highly competitive prices
• Zero overhead with no overtime & hidden costs
• 7+ years of experience in claims adjudication for leading Payors
• Free your in-house team for focusing on care management issues
• ‘No lockup’ service contract that you can cancel anytime