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Faster Approvals

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Fewer Denials

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End-to-End Authorization Support

What Our Prior Authorization Services Include

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.

Struggling with Delays in Authorization?

Insurance verification and authorization requirement checks

We verify payer-specific prior authorization requirements based on procedure, diagnosis, and policy guidelines before submission.

CPT- and payer-specific authorization submissions

Authorization requests are prepared and submitted according to payer rules, CPT codes, and medical necessity criteria to minimize rejections.

Clinical documentation coordination

We collect, review, and organize supporting clinical records, physician notes, and test results required for approval.

Payer portal and phone follow-ups

Our team actively follows up through payer portals and direct communication to prevent stalled or delayed requests.

Authorization status tracking and escalation management

Each request is tracked in real time, with escalations handled promptly for urgent or time-sensitive cases.

Approval, denial, and next-step reporting

We provide clear updates on authorization outcomes, including approval details, denial reasons, and recommended next actions.

Who This Prior Authorization Service Is Best Suited For

Designed for practices that manage frequent authorization requests and need a dependable way to keep approvals moving without increasing internal workload.

High-Volume Practices

Practices handling a steady volume of procedures, imaging studies, or medication requests that require prior authorization.

Specialty Clinics

Clinics where most services require authorization and delays can quickly impact scheduling and patient access to care.

Practices With PA Backlogs

Teams experiencing pending authorizations, delayed approvals, or frequent rescheduling due to incomplete or stalled requests.

We Work the Way Your Practice Operates

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.

Measured Improvements Before and After OneMed

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.

Specialized Support for High-Volume Practices

What You Get With Our Prior Authorization Services

We remove bottlenecks in the authorization workflow. This service improves coordination between your practice, providers, and insurance payers.

What You Get With Our Prior Authorization Services

Faster PA Approvals

Reduced PA Denials

Status Tracking & Follow-Ups

Clinical Documentation Support

Reporting & Reference IDs

Our Simple, Reliable Prior Authorization Process

A structured workflow to reduce denials, speed approvals, and keep your schedule on track.

1

  • Request Received

2

  • PA Requirements Verified

3

  • Documentation & Submission

4

  • Follow-Ups & Escalations

5

  • Decision & Reporting

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

Our Simple, ReliablePrior Authorization Process

A structured workflow to reduce denials, speed approvals, and keep your schedule on track.

01

Request Received

We receive the order/procedure details and confirm the payer and patient information.

02

PA Requirements Verified

We confirm prior authorization requirements by payer, CPT/procedure, diagnosis, and policy rules.

03

Documentation & Submission

We gather clinical documentation and submit the authorization through payer portals, fax, or electronic channels.

04

Follow-Ups & Escalations

We track status daily, follow up with payers, and escalate urgent or delayed requests to prevent scheduling delays.

05

Decision & Reporting

We send the final outcome to your team - approval details, reference numbers, and next steps if denied.

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
Often delayed due to front-desk workload and limited time for repeated follow-ups
Exceptions may be missed until scheduling or patient care is impacted
Limited availability and experience coordinating peer-to-peer reviews
Manual tracking with limited visibility across multiple requests
Experience varies; frequent rework due to payer-specific requirements
Your Staff
No
No
No
Basic
Low
OneMed Billing
Dedicated follow-up team working payer portals and phone queues consistently
Exceptions identified early and handled with payer-specific escalation steps
Support provided when required, including documentation prep and coordination
Centralized tracking with regular status updates and clear documentation
Familiarity with specialty drug requirements and payer rules for cleaner submissions

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

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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