What Is Prior Authorization? - Detailed Guide for Providers
- Prior Authorization
- OneMed Billing
Lower Days in AR
Faster Payments
Complete Follow-Up Coverage
Most payment delays start with how claims are prepared and
submitted. Missing codes, incorrect patient info, or payer
specific errors can send clean revenue straight into rework.
We take ownership of the full submission process—from charge
review to clearinghouse tracking—so your claims get out on
time and meet every payer’s criteria.
Every claim undergoes a thorough validation to ensure it's accurate, complete, and payer-ready.
Verify demographics, insurance coverage, and eligibility.
Confirm accurate ICD, CPT, and HCPCS coding.
Validate correct modifiers and place-of-service codes.
Check referring and rendering provider NPI details.
Ensure alignment with payer-specific medical necessity guidelines.
Ensure claims meet clearinghouse and payer submission standards.
Whether you're using Athena, Kareo, DrChrono, or custom EHR/ PM solutions, our integration is seamless. We collect charges and visit data daily, review and submit claims securely, and proactively manage rejections.With flexible submission schedules (daily, weekly, or batch) and support for multiple data transfer methods (HL7, SFTP, or manual), our customized reporting keeps your team fully informed without disrupting your operations.
First-pass claim acceptance
Rejections due to coding/data issues
Average claim submission time
AR days (claims stuck in transit)
78%
18%
2–3 days
High
96%
3%
Same Day
Reduced
With OneMed, our claims are out the door fast, clean, and accurate. We don’t lose days chasing
corrections anymore.”
Our scalable claim submission process combines HIPAA compliant U.S.-based and offshore expertise to ensure accuracy across multiple specialties like Radiology, Mental Health, Orthopedics, and DME. High-volume submission are smoothly managed with an advanced payer-rules engine and detailed clearinghouse logs, including payer response codes, for complete transparency
You’ll receive real-time submission reports and alerts if any claim is delayed, rejected, or flagged for rework.
A streamlined process that keeps your cash flow healthy and predictable.
Precision Denial Analysis
Real-time rejection reports
Claim acceptance confirmations
Submission error analysis
Yes, we submit both CMS-1500 and UB-04 forms depending on your billing setup.
Absolutely. We handle Medicare, Medicaid, Tricare, VA, and all major commercial plans.
Most are submitted the same or next business day, depending on charge receipt time.
Yes. We run pre-submission QA and will notify your team if a claim is incomplete or risky.
Yes. All team members undergo regular HIPAA training and data is exchanged securely.