PriorAuth Online is a web-based online portal powered by Sunknowledge services inc, offering complete prior authorization(PA) process starting from authorization initiation, follow-up, and approval for DME, radiology, genomic lab other specialties too. With the help of PriorAuth Online every data and information is presented in a signal portal, decreasing the processing time thus improving patient’s time to therapy. In fact, with years of serving in this authorization domain, our experts had understood the need for faster approval for prior authorization hence resulting in 100% Prior Authorization submission on the same day.
Our Prior Authorization Process Includes:
Gathering Information – it begins with the information gathering. This includes patient name, DOB, insurance information along with ordering provider’s name, NPI, Tax ID, address and phone no. we also check diagnosis code, units for each service code if ordering physician is PECOS certifies or not.
Reaching the Payer – this process fax phone etc is used for the purpose of authorization request submission. Once this is done we reach out to UM/Prior authorization department and even fax medical notes (if required).
Our Initiation and Follow up Actions – our last steps ensue investigating to resolve whether the patient is eligible based on payer requirements for prior authorization. Once this is done prior authorization is initiating through outbound calls, portal etc as per payers’ protocols/guidelines. This concludes with providing additional documents/ data if requested by the payer and at last end up updating the authorization result in the billing system.
Sunknowlede other standalone services with a service charge of $7 per hour include:
- Rx order entry
- Patient’s demographic and insurance entry
- Dx entry
- Eligibility verification
- Collection of required documents with doctor’s office follow-up and even patients calling
- Order confirmation
- Claims management
- Cash posting
- Rejection and denial management
- Account receivable follow-up
So leverage Sunknowledge benefit and experience 80% operational cost reduction, a no binding contract and dedicated account manager with just a call. For more information call Sunknowledge experts.
Sunknowledge Services Inc. – an ISO 27001:2022 certified, American-owned & operated company, headquartered in New York City – is a leading global provider of Business and Knowledge Process Outsourcing services in the US healthcare domain.
