SolvEdge streamlines prior authorizations by ensuring medical necessity, meeting payer requirements, and accelerating approvals—reducing admin burden and protecting your revenue.
SolvEdge’s End-to-End Authorization Management Approach
Requests are submitted via payer-preferred platforms—phone, web portal, or fax—based on standardized protocols. Our team adheres to payer-specific documentation requirements to minimize rework and reduce delays.
We employ a pre-verified documentation checklist customized by payer, ensuring submission accuracy. This includes demographic, clinical, and procedural data such as CPT/HCPCS codes, diagnosis codes (ICD-10), provider/facility information, and relevant clinical narratives.
Ongoing follow-up with payers ensures that pending authorizations are resolved promptly. We track turnaround times and escalate issues proactively to prevent workflow disruptions.
Our team understands the nuances of authorizations for high-cost services such as diagnostic imaging, surgeries, infusion therapy, and inpatient admissions—ensuring precise handling across multiple specialties and service lines.
Meticulous documentation and process rigor reduce incomplete submissions and approval delays.
Validated authorizations facilitate cleaner claims, contributing to quicker revenue realization and reduced AR aging.
By offloading authorization management to SolvEdge, internal resources can focus on clinical and operational priorities.
Proactive verification and documentation alignment mitigate denials due to authorization issues, decreasing appeals workload.
By promptly posting insurance and patient payments, we help reduce days in AR and ensure timely revenue recognition.
Accurate reconciliation gives you a clear picture of your practice’s financial health. Eliminate AR confusion caused by delayed check deposits or missed ERAs.
Our payment posting process is adapted to your unique financial protocols and system preferences, ensuring smoother operations and better outcomes.
Free your staff from time-consuming posting tasks and allow them to focus on patient care and higher-value activities.
Let SolvEdge handle the administrative complexity of prior authorizations—so your team can focus on delivering patient care, not chasing approvals.