Prior Authorizations Submitted, Tracked, and Approved.
Authorization delays cost practices revenue and patients care. Billr Health’s prior authorization team manages every PA from submission to approval — with urgent turnaround capability and peer-to-peer support when payers push back.
We identify PA requirements at the time of scheduling based on procedure, diagnosis, payer, and plan level — before the appointment is confirmed.
Authorization Submission
Clinical documentation compiled and submitted electronically or via provider portal — same day for routine PAs, within 2 hours for urgent requests.
Status Tracking
Every open PA is tracked to resolution. We follow up with payers every 48 hours and escalate unresponsive cases through peer-to-peer and provider relations channels.
Peer-to-Peer Support
When payers deny on medical necessity grounds, we coordinate peer-to-peer review between your provider and the payer’s medical director — with documentation support.
Urgent Authorization
Same-day and next-day urgent authorization available for time-sensitive procedures, emergency admissions, and post-authorization requirements.
PA Denial Appeals
When PAs are denied, we prepare and submit formal appeals with clinical evidence, CPT policy references, and specialty society guidelines that support medical necessity.
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All Services
Full RCM, billing, AR, credentialing
All Specialties
Billing for 20+ medical specialties
Pricing
Transparent, performance-based
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Stop Losing Revenue to Billing Inefficiencies.
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