PriorAuth Online: Simplifying your Prior Authorization

According to the Milliman report, the transaction of electronic prior authorization costs around $2.07 for per transaction while manual prior authorization (PA) costs $10.78 per transaction. This report clearly shows how electric prior authorization can save you and how helpful it can be for your revenue generation.

PriorAuth Online powered by Sunknowledge Service Inc, is one of the major names in prior authorization domain which is skilled in offering complete authorization process. Starting with authorization request, follow-up and approval PriorAuth online is an online web-based portal ensuring 100% prior authorization submission on the same day.

Our PriorAuth Online benefit the clients by simplifying the process of prior authorization that eventually getting the members the medications they need, much faster for their treatment process. Even a boost in the prior authorization rate by 1.5-2x is experienced by being part of our PriorAuth Online.

Steps PriorAuth Online Follows for a Successful and Faster Prior Authorization Process:

  • Gather vital information on medical procedure, patient, and provider
  • Verify and validate prior auth request with effective payer side communication
  • Check the patient’s eligibility
  • Initiate the auth request based on the payer mandates
  • checking the auth status
  • Collating relevant documents from the ordering physicians/follow up
  • Providing additional information if any
  • update the auth income in the PM/Billing system

Our benefit does not end here with successful and effective prior authorization we also offer a standalone/end to end service with a charge of $7 per hour for:

  • Rx Order Entry
  • Patient demographics & insurance entry
  • Product Code/Rx & Dx Entry
  • Eligibility verification/Authorization
  • Collection of complete Rx
  • Collection of documents for Auth approval
  • Submission
  • Rejection/denial management
  • A/R Follow-up

So if you are thinking to revisit our prior authorization solution Sunknowledge is the perfect one-stop destination.  Also the other benefits like no binding contract, 80% operational cost reduction, robust reporting are also the reasons for financial upliftment for the cash flow for the clients. For more information get in touch with our PriorAuth Online expert over a ‘no commitment call‘ and find out how you can decrease the pain point for your prior authorization problems.