We help doctors and clinics with accurate, fast, and fully managed prior authorization services.
Is your staff spending countless hours chasing insurance approvals? Then you are facing a challenge that most healthcare practices know all too well. And you are not wrong to be annoyed.
The average physician spends over 14 hours a week handling prior authorization, which is 14 hours not spent on patient care. Every delay in approval slows your operations, every denied claim reduces your revenue, and every rework strains your team.
Ultimately, it's not just wasting your time, but also your patients' trust, staff's well-being, and financial stability.
Medical prior authorization is critical in healthcare, but it should not overwhelm your practice.
Remember the time you aspired to serve patients efficiently. The inconsistent payer policies, unclear documentation requirements, frustrating denials, and appeal cycles divert you from that goal. They add no clinical value and create endless admin stress.
We specialize in end-to-end prior authorization services for clinics, hospitals, and private practices. Our team of prior authorization specialists ensures efficient processes.
Our billers verify patient coverage instantly before treatment begins. They check your eligibility, benefits, and authorization requirements. It helps your staff avoid payment delays and ensure accurate billing.
We gather and organize all required patient documentation based on each payer's unique rules. This reduces errors, prevents claim rejections, and ensures that every request meets insurer guidelines the first time.
Our billing experts send pre-authorization applications online via payer portals. It speeds up approvals, reduces paperwork, and helps eliminate the delays of faxing or phone-based submissions.
We review and validate CPT and ICD-10 codes for each request. Proper coding ensures compliance, reduces denials, and helps you get claims approved faster and more reliably.
Our billers track every payer’s request, follow up with payers, and handle appeals if needed. This keeps authorizations moving forward and gives your team peace of mind through every step. We also handle retro authorization cases when needed.
We keep your patients informed with timely updates on their authorization status. This enhances the patient experience, fosters confidence, and minimizes queries at your front desk.
Just imagine, you no longer get on endless calls with insurance representatives. There is no more resubmitting prior authorization in medical billing requests. You are not uncertain about whether the treatment you provided is covered or not.
We proudly serve:
We connect with your system from day one, so your team stays focused on patient care.
Our authorization process is effortless for your team and powerful behind the scenes.
We detect the need for prior authorization based on your EHR or intake workflow.
Our billers verify insurance and determine coverage eligibility in real-time.
We compile the necessary patient medical records and supporting documentation.
We submit the request through payer-approved portals or ePA systems.
We monitor the application status, manage responses, and handle additional requests.
Our team processes approvals, escalates denials, and communicates outcomes to your staff and patients.
Depending on payer responsiveness, we aim to complete most authorizations within 24 to 48 hours.
Yes. We integrate with major platforms like Epic, Athena, eClinicalWorks, Kareo, and more.
Our team will manage the appeal process, gather additional documents, and resubmit everything handled on your behalf.
We work with nearly all specialties, including high-volume practices that require complex prior authorizations.
Absolutely. Our workflows, storage, and communication meet strict HIPAA standards to protect your data.
EZ MD Solutions, LLC supports 75+ active US healthcare practices with a team of 200+ across the US, Latin America, and Asia.
sales@ezmdsolutions.com
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