95% First-Pass Authorization Rate
24–48 Hr Turnaround
150+ Portals Managed Daily
Prior authorization is a time-sensitive process that directly affects both patient care and provider revenue. Delays and denials can lead to treatment disruptions and financial setbacks. OneMed simplifies prior authorization with a structured, efficient approach that minimizes administrative burdens while improving approval rates.
Our dedicated team ensures timely submissions, reducing delays and claim rejections.
Our team proactively tracks requests and follows up with payers for quicker resolutions.
From oncology to orthopedics, our team understands payer guidelines for diverse medical specialties.
By minimizing authorization errors, we help prevent costly claim denials and lost reimbursements.
Since 2020, OneMed Billing has been committed to helping healthcare providers improve their revenue cycle management. We work closely with organizations to streamline their billing systems, using advanced tools and industry knowledge to boost efficiency and growth.
Our HIPAA-compliant & ISO 27001:2022-Certified solutions guarantee secure and reliable processes. By streamlining billing, reducing claim denials, and speeding up reimbursements, we help providers improve their financial health while focusing more on patient care and less on administrative tasks. With our expertise, you can achieve greater profitability and peace of mind in your practice.
Verify patient insurance coverage and policy details.
Identify payer specific prior authorization requirements.
Gather required clinical documents based on payer guidelines.
Ensure medical necessity criteria are met before submission.
Submit authorization requests through payer portals, fax, or EDI.
Ensure accuracy to avoid rework and reduce turnaround time.
Regular follow-ups with payers to accelerate approvals.
Proactive resolution of pending or delayed requests.
Identify reasons for denials and submit appeals with supporting documentation.
Work closely with payers to overturn incorrect denials.
Experienced team handling approvals for hospitals and physician groups.
Streamlined verification and submission process to prevent treatment delays and claim denials.
Ensuring approvals align with insurance guidelines to reduce authorization-related denials.
High auth approval, minimizing claim rejections, and accelerating reimbursement timelines.
These are services that help providers get insurance approval before delivering certain treatments, tests, or medications to ensure they’ll be covered.
The cost of handling prior authorizations in-house can range from $10 to $80 per request, depending on the complexity and staff involvement. For a full-time physician, this adds up to $2,000 to $4,500 per year in admin time alone. That doesn’t include delays in care, lost revenue from missed authorizations, or denied claims that could have been prevented.
Most prior authorizations take 1 to 3 business days. Urgent requests are usually processed within 24 to 72 hours, while complex cases may take up to 7–14 days, depending on the insurance plan.
Common reasons include missing documents, lack of medical necessity, service not being covered, or the request being submitted with incorrect codes.
