Predetermination Vs Prior Authorization- The Difference
- Prior Authorization
- OneMed Billing
Faster Approvals
Fewer Denials
End-to-End Authorization Support
30+ Specialties Served
30+ Specialties Served
30+ Specialties Served
Our prior authorization services are designed to remove delays, reduce denials, and ensure requests are submitted correctly the first time. We manage each step of the authorization process with close attention to payer rules, clinical requirements, and turnaround timelines.
We verify payer-specific prior authorization requirements based on procedure, diagnosis, and policy guidelines before submission.
Authorization requests are prepared and submitted according to payer rules, CPT codes, and medical necessity criteria to minimize rejections.
We collect, review, and organize supporting clinical records, physician notes, and test results required for approval.
Our team actively follows up through payer portals and direct communication to prevent stalled or delayed requests.
Each request is tracked in real time, with escalations handled promptly for urgent or time-sensitive cases.
We provide clear updates on authorization outcomes, including approval details, denial reasons, and recommended next actions.
Practices handling a steady volume of procedures, imaging studies, or medication requests that require prior authorization.
Clinics where most services require authorization and delays can quickly impact scheduling and patient access to care.
Teams experiencing pending authorizations, delayed approvals, or frequent rescheduling due to incomplete or stalled requests.
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.
Approval turnaround time
Denials due to missing auth
Patient cancellations due to delay
3 to 5 days
14%
Frequent
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.”
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.
We remove bottlenecks in the authorization workflow. This service improves coordination between your practice, providers, and insurance payers.
A structured workflow to reduce denials, speed approvals, and keep your schedule on track.
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Need help with peer-to-peer reviews or urgent approvals? We’re ready to assist.
Choosing OneMed means fewer delays, fewer denials, and a smoother path from scheduling to treatment.
Absolutely. All team members are trained in HIPAA and follow strict privacy protocols.
Yes, we support both types of prior authorizations across all payer types.
We typically submit within 24 hours of receiving the order. Urgent cases are handled same day.
We work with providers in radiology, behavioral health, pain management, neurology, cardiology, and more.
Yes. We assist with scheduling and documentation for peer-to-peer reviews when required.