Prior authorizations, approved faster.
Stop losing hours — and revenue — to insurance red tape. We handle eligibility checks, submissions, and follow-ups end-to-end so your team can focus on patients.
- Approval rate
- 90%+
- Avg. turnaround
- 24–48h
- Specialties
- 12+
Prior auth is breaking your front office.
The average practice spends 13+ hours per provider, per week chasing authorizations. We take that off your plate.
Hours wasted on hold
Staff burnout and delayed care while waiting on payer queues.
Denied & delayed revenue
Avoidable denials erode margins and frustrate patients.
Constantly changing rules
Payer requirements shift monthly. We track them so you don't have to.
A clean, four-step workflow
From verification to appeal, every request is tracked, documented, and followed up until resolved.
- Step 1
Verify
Eligibility, benefits, and PA requirements confirmed up front.
- Step 2
Prepare
Clinical documentation and CPT/ICD codes assembled accurately.
- Step 3
Submit
Filed through the right payer portal or fax with full audit trail.
- Step 4
Follow up
Proactive status calls and denial appeals until approved.
Built for independent practices that need results, not promises.
A certified prior authorization specialist with a track record of high first-pass approvals — partnering directly with your office, not a call center.
- 90%+ first-pass approval rate across specialties
- Personalized service — you work with the specialist, directly
- HIPAA-compliant systems and BAA on file
- Ready for 2026–2027 CMS electronic PA rules
“We cut denials by more than half and got hours back every week. It feels like having a senior auth coordinator on staff — without the overhead.”
— Practice Manager, Orthopedics Group
Ready to fix prior auth?
Book a free consultation. We'll review your current workflow and show you where time and revenue are leaking.
Questions practices ask before switching.
Short, honest answers about how outsourced prior authorization works.
What is prior authorization outsourcing?+
It's handing off insurance pre-approval work — eligibility checks, submissions, and payer follow-ups — to a specialized partner so your staff can focus on patient care.
How much does prior authorization outsourcing cost?+
Pricing scales with volume and specialty. Most independent practices save 10–20 staff hours per provider per week, which typically offsets the cost in the first month.
Is ApproveMD HIPAA compliant?+
Yes. We work under a Business Associate Agreement (BAA), use HIPAA-compliant systems, and apply strict access and audit controls for all PHI.
How fast can you turn around a prior authorization?+
Standard requests are typically submitted the same business day. Most approvals come back in 24–48 hours, depending on payer and clinical criteria.
Which specialties do you support?+
12+ specialties including orthopedics, pain management, imaging, cardiology, oncology, neurology, rheumatology, OB/GYN, ophthalmology, ENT, and primary care.
Do you handle denials and appeals?+
Yes. Every denial is reviewed, corrected, and appealed end-to-end. Our first-pass approval rate is 90%+, and we keep working a case until it's resolved.