Best in Class Approach for A Complete Prior Authorization Action Plan

Trust the Sunknowledge advantage for a complete Prior Authorization support. We are a next gen healthcare revenue cycle management company extending task specific prior authorization/ eligibility verification assistance. We extend an:

• Expert team handling all your prior authorization needs
• Versatile footprint/ working with providers across more than 28 specialties
• Serving over a 100 clients with stand alone/ end to end pre and post billing services

A One Stop Practice Management Destination

• Guaranteed reduction of operational cost by 70%
• Prompt service with a consistent accuracy rate of 99.9%
• Increase your current rate of completed requests by 1.5 – 2x
• The only RCM Company specializing in Pre Certification
• Extensive experience in adjudicating claims for large Payers
• STAT approvals with 99% accuracy

We serve: the following verticals with our prior authorization services:

DME, HME, Orthotics & Prosthetics, Imaging Centers, Dermatology, Genomics labs, Specialty Pharmacies, Nursing Homes, Radiology Centers, Ambulatory Surgical Centers, Ambulance Services.

Comprehensive Action Plan for your Prior Authorization worries

Authorization Initiation

• Calling up insurance to find the authorization filing procedure and turnaround time
• Gathering prior-authorization form and relevant medical documents from the providers
• Submission of the authorization request (fax/online/call) to the payer along with relevant documentation (if required)
• Tracking of Fax receipts

Authorization follow-up

• Communicating with the payer to check the status of the authorization as per the turnaround time protocol of the payer.
• It also involves sharing additional notes as per payers’ requirement

Acknowledgement of Authorization approval

• Updating approved authorization in the providers’ practice management system
• Complete documentation on the start and end date for the Authorization approval, service information and provider information

Let us give you a complete share of how we plan to improve your prior authorization experience. Our team will be glad to share with you an action plan on how we make a genuine difference in your cash flow with us working as your reliable operational extension. Leverage the Sunknowledge advantage in prior authorization services at the best price in the market.