Simplify your billing process with our expert Medical billing Services in Georgia
Stop losing revenue to billing mistakes. Primrose’s proven medical billing solutions help practices in Georgia optimize their revenue cycle with
- Smarter billing
- Fewer rejections
- Faster payments
How We Add Value to Your Business
Our Prior Authorization Process
Initial Review
We check the patient’s insurance plan and verify coverage details to ensure all requirements are met.
Documentation Collection
Our medical billing experts collect all needed medical records and notes to support the request.
Submission to Insurance
We send the filled-out forms and documents to the insurance company to make sure everything is correct.
Follow-up & Tracking
We actively monitor the request and follow up with the insurance provider to avoid delays.
Approval Notification
When we get the approval, we let you know right away that the process is done.
Appeal
If a denial occurs, we manage the appeal process and resubmit necessary documentation.
Final Reporting
We keep you informed with timely reports on the status of each authorization.
Primrose offers the following pre-authorization solutions
Insurance Verification Services
We thoroughly verify each patient’s insurance coverage to confirm that the treatments or procedures are included under their plan. This helps minimize errors and avoid unexpected denials for your practice.
Efficient Documentation Handling
Our advanced documentation processes collect and submit all required information accurately. This speeds up the prior-authorization process, making approvals quicker and more reliable.
Smooth Claim Settlements
We leverage our expertise in insurance guidelines to secure claim approvals on the first attempt. With a success rate of up to 97%, we help your claims get settled without unnecessary delays.
Expert Handling of Complex Coding
Our certified coders use the correct ICD-10 codes for prior authorization requests. This reduces the chance of delays and helps to keep the approval process on track.
Proactive Follow-Up Services
We track each prior authorization request and consistently follow up with insurers to close any gaps in communication. This helps speed up approvals and facilitates smoother claim settlements.
Benefits of Primrose Pre-Authorization Services
- Faster Approvals of Insurance
- Less Administrative Work
- Higher First-Pass Approval Rates
- Improved Cash Flow
- Lower Risk of Denials
- Accurate Documentation
- Clear Communication
- Expert Handling of Complex Cases
Why Choose Us?
- Specialties Covered: 40+
- Average A/R Days: 36
- Collection Success Rate: 99%
- Total Amount Collected: Over $200M
- First-Pass Claim Approval Rate: 98%
- Quality SLA for Coding & Billing: 98%
- Billing Software Expertise: 20+ Platforms
