What are prior authorization services?

These are services that help providers get insurance approval before delivering certain treatments, tests, or medications to ensure they’ll be covered.

What is the average cost of prior authorization for providers?

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.

How long will a prior authorization take?

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.

Why would insurance deny prior authorization?

Common reasons include missing documents, lack of medical necessity, service not being covered, or the request being submitted with incorrect codes.

Prior Authorization Services Providing Company

Faster Approvals

Fewer Denials

End-to-End Authorization Support

30+ Specialties Served

Struggling with Delays in Authorization?

Missing or late prior authorizations are a leading cause of delayed treatments, denied claims, and patient dissatisfaction. In busy practices, it’s easy for these steps to fall through the cracks. That’s where we step in.

Our team manages the entire prior authorization process, gathering documentation, submitting requests, following up with payers, and tracking every response until approval. We help ensure the care your patients need is never held up by paperwork.

Get Support for Your Authorizations

Struggling with Delays in Authorization?

We Work the Way Your Practice Operates

We tailor our process to your EHR, specialty, and communication preferences. Whether you use Epic, Athena, Kareo, or another platform, we submit requests within 24 hours, prioritize urgent orders, and deliver updates through secure messaging, fax, or direct EHR entry. Dedicated specialists are assigned to your team so you stay informed and in control.

Real Results from Real Practices

Metric

Approval turnaround time

Denials due to missing auth

Patient cancellations due to delay

Before OneMed

3 to 5 days

14%

Frequent

After OneMed

1 to 2 days

Less than 3%

Rare

Our team used to chase payers for every specialty request. With OneMed, everything is tracked, followed up, and reported. It’s a game-changer.”

— Practice Manager, Neurology Group

Specialized Support for High-Volume Practices

We support practices that manage frequent prior authorizations across various specialties and payer types. From complex drug requests to imaging, behavioral health, or DME approvals , we handle it all. Our team is trained to manage peer-to-peer scheduling, GAP exception requests, and both Medicare Advantage and commercial plans, with full documentation at every step.

Stay Updated Without the Hassle

We keep your team informed every step of the way. You’ll know when a request is submitted, approved, delayed, or denied, with clear documentation included.

Daily or same-day status reports

Reference numbers and authorization details

Alerts for missing documentation

Escalation steps taken on your behalf

Final approval and start-of-care confirmation

Talk to a Specialist Today

Simple, Reliable Process That Keeps You Covered

Our step-by-step workflow ensures no authorization slips through the cracks.

1

Order or request received

2

Authorization requirement confirmed

3

Forms completed and submitted

4

Follow-up until payer decision

5

Final result sent to your team

Need help with peer-to-peer reviews or urgent approvals? We’re ready to assist.

See a Demo of Our PA Workflow

Don’t Let Missed Authorizations Cost You Revenue

Feature

Manual payer follow-up

GAP exception handling

Peer-to-peer support

Status tracking and daily reports

Specialty drug experience

Your Staff

Inconsistent

Rarely

Not offered

Limited

Low

Your Staff

Basic

Low

OneMed Billing

Yes

High

Yes

Detailed

High

Choosing OneMed means fewer delays, fewer denials, and a smoother path from scheduling to treatment.

Talk to Our Denial Team Today

Frequently Asked Questions

Is your team HIPAA compliant?

Absolutely. All team members are trained in HIPAA and follow strict privacy protocols.

Do you handle both medical and pharmacy authorizations?

Yes, we support both types of prior authorizations across all payer types.

How fast do you submit requests?

We typically submit within 24 hours of receiving the order. Urgent cases are handled same day.

What specialties do you support?

We work with providers in radiology, behavioral health, pain management, neurology, cardiology, and more.

Can you help with peer-to-peer coordination?

Yes. We assist with scheduling and documentation for peer-to-peer reviews when required.

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Struggling with Delays in Authorization?

We Work the Way Your Practice Operates