Cost-Effective Solutions in Prior Authorization Services
Cost-Effective Solutions in Prior Authorization Services

In the ever evolving landscape of health insurance reimbursement, prior authorization (sometimes referred to as pre-authorization or pre-certification) is regarded as one of the most challenging areas. Prior authorization also constitutes an extremely important part in the entire revenue generation chain.

As operational functions become increasingly complex, underutilizing your in-house staff can be detrimental to your financial health. Keeping operational costs under control, while maximizing efficiency, should also be every healthcare provider's foremost concern.

Stop worrying and call Sunknowledge to give you
quick relief from all your administrative and clerical headaches
with a comprehensive range of prior authorization solutions.

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prior approval

We act as the perfect facilitator between you & the Payer, eliminating all errors in the process of Pre-certification. Our full suite of Practice Management services includes a comprehensive and highly streamlined prior approval process that includes a) sending out the auth request, b) following up with the Payer, and c) obtaining the approval.

In addition, we also extend our support with fast and accurate patient eligibility verification and benefits verification that help prevent nasty surprises at the time of seeking reimbursement from insurance companies.

Looking for proven expertise in a dedicated niche? That's us!

As a disciplined vendor, we aim to centralize practices,
streamline them, reduce errors and improve overall efficiency.

 

Prior Authorization Benefits

Our dedicated personnel are experts in practice management, helping in creating the perfect liaison among insurance companies, healthcare service providers, and patients. We are the preferred vendor for two of the leading medical insurance companies in the country for claims adjudication. This has lent us a unique edge in complying with Payer guidelines better than others and helping our clients drastically reduce claim denials and rejections.

Prior Authorization Benefits

Key Benefits


~ 70% reduction of operational cost... guaranteed!

~ Increase your current rate of successful authorizations by 1.5 – 2x

~ Full-range Prior Authorization service (Auth Request + Follow-up + Approval)

~ Prompt service with 99.9% accuracy

~ 100% HIPAA compliance

~ Highly competitive prices, with no overhead - no overtime - no hidden costs!

~ 7+ years of experience in claims adjudication for leading Payers

~ Free your in-house team for focusing on care management issues

~ Zero lockup service contracts that you can cancel anytime

Specialties

WHAT WE COVER
We do prior authorization for DME (Durable Medical Equipment), CPAP Machines,
Orthotics & Prosthetics, Allergy, Oncology, Physician Services, Nursing Homes,
Radiology, Specialty Pharmacy, Home Healthcare, Anesthesiology, Dermatology,
Imaging, Rehab, Cardiology, Physical Therapy, Sleep Medicine, Gastro Enterology,
Pain Medicine, Rheumatology, Clinical Care Management, Podiatry, Neurology,
Pulmonology, Urology, General Surgery, Obstetrics & Gynecology, Ophthalmology,
Orthopedics, Otolaryngology Medical Practice and more! 

 

 

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