Which types of procedures do you handle authorizations for?

We manage requests across imaging, surgery, pharmacy, and specialty care, with dedicated desks for each so requests go to reviewers who already know that payer's requirements.

How do you know which procedures need prior authorization in the first place?

We start with requirement mapping to identify exactly which payers and codes trigger an authorization, then sync with your scheduling desk so requests are initiated automatically as soon as a procedure is booked.

What happens if a payer initially denies the authorization request?

We coordinate peer-to-peer calls between your clinicians and the payer's medical director and continue direct outreach until the request is resolved, tracking status daily so nothing stalls.

Healthcare BPO (Medical Billing, RCM)

Prior Authorization Support that Secures Approvals Faster

Stop losing procedures to slow approvals. Our dedicated authorization desk and payer-intelligence engine secure clearances before the patient arrives, so surgeries stay on the calendar and your clinical teams stop chasing paperwork.

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Stopping Denials Before They Happen

Prior authorization is one of the biggest bottlenecks in modern healthcare. Delays in approvals lead to canceled surgeries and frustrated patients. Our specialized Authorization Desk handles the complex communication between your facility and the insurance payers, ensuring that approvals are secured before the patient ever arrives.

The Old Way

Authorization Barriers

The Intelegencia Way

Streamlined Approvals

Delayed procedure starts

Dedicated 'Auth Desk' pods

High administrative burden

Payer-specific expertise

Frequent technical denials

Rapid documentation gathering

Complex payer requirements

Real-time status tracking

Patient scheduling friction

Reduced clinical burnout

Proactive Authorization Management

We don't wait for denials. Our team proactively identifies procedures requiring authorization and initiates the request immediately after scheduling. We manage the clinical documentation flow, ensuring that payers have exactly what they need to say 'Yes' the first time.

Payer-specific rule mapping

Clinical documentation review

Urgent request escalation

Peer-to-peer call coordination

Authorization renewal tracking

The Approval Stack

Authorization Capabilities

Expedited approval pathways for imaging, surgery, pharmacy, and specialty care, ensuring patients get cleared before their procedures.

Imaging Auth

Rapid approvals for MRI, CT, and PET scans.

Surgical Desk

Complex clearance for inpatient and outpatient surgery.

Pharmacy Auth

Specialty medication and infusion clearances.

Status Portal

Real-time visibility into every pending request.

Ready for Care

The Auth Integration

We synchronize with your scheduling desk to trigger authorization requests automatically.

Requirement Mapping

Identifying which payers and codes require auth.

Workflow Sync

Connecting with your clinicians for medical necessity data.

Payer Outreach

Direct communication with insurance medical directors.

Status Updates

Daily reporting on approved vs. pending requests.

Care Confirmation

Final verification before the patient encounter.

Measured Performance. Proven Growth.

Approval Rate

0 hr

Turnaround Time