Pre-cert Obtaining

Often called prior authorization, prior approval, or precertification — may be a process that a lot of insurance plans impose before they comply with buy care.

“Ever encounter situations where a number of your claims are denied by payers for lack of pre-authorization? If yes, you will greatly benefit from Urshitas billing solution pre-authorization services.”

Pre-certification varies from payer to payer also the patient’s plan. With the ever-changing Payer policies, managing pre-certifications becomes a task in itself for the front office taking their focus far-away from the foremost important task of patient care.

We, at Urshitas billing solution, offer an efficient and price-effective Preauthorization service for your practice.

Our experienced and knowledgeable expert team takes care of the subsequent tasks -

• Review each case to work out if pre-certification is required by the patient’s insurance firm of the planned service.

• Collect the specified also as complete Information.

• Apply for Authorization / Pre-Certification for required procedures to the Payers.

• Answer queries / submit additional information sought by the Payers.

• Regularly update the Authorization number received within the Practice Management Software.

• Maintain a record of the Authorizations received.

• Submission of a Monthly Report for all the cases handled alongside the result.

• Give reasons where authorization wasn't received.

Benefits to Provider

• Minimum delay in getting authorization

• No loss of revenue thanks to claims denied for lack of authorization

• Patient-centric approach

• Specialised manpower dedicated to the present task

• Reduce your front office staff’s workload so that they will specialise in patient care