Prior Authorization
Prior Authorization
We handle the complex documentation and endless follow-ups required by payers, ensuring your patients receive their authorized treatments without unnecessary delays.
Clear Treatments FasterThe Authorization Journey
Request Review
We receive the authorization request from your clinical team, immediately identifying the exact payer requirements for the specific procedure or medication.
Documentation Check
Our specialists thoroughly review the patient's medical records to ensure all necessary clinical notes, lab results and medical necessity proofs are present.
Authorization Submission
We compile the data and submit the formal request securely through the payer's designated portal or via direct fax lines.
Follow-up
We continuously monitor the status, handle any requests for additional information and aggressively follow up with payer representatives.
Status Update
Once approved, the authorization number and valid dates are immediately recorded in your scheduling system so the patient can be treated.
What We Handle
Diagnostic & Imaging Approvals
Securing authorization for high-cost imaging services like MRIs, CT scans and PET scans requires precise clinical justification. We compile the evidence and manage the approval process swiftly.
Surgical Procedures
Inpatient and outpatient surgeries demand extensive documentation. We coordinate with surgeons and facilities to ensure every code is approved before the patient enters the operating room.
Specialty Medications
Pharmacy benefit managers often require complex step-therapy documentation before approving specialty drugs. We handle the paperwork so your patients get the medication they need.
Therapy & Ongoing Care
We secure initial approvals and manage the necessary re-authorizations for physical therapy, occupational therapy and other extended care plans.
Challenges We Help Reduce
Long Wait Times
Stop wasting clinical staff hours on hold with insurance companies.
Missing Documents
We ensure all clinical notes are attached before submission.
Costly Denials
Prevent claim rejections caused by unauthorized procedures.
Why Dedicated Authorization Matters
Prior authorization requirements change constantly. When your in-house team tries to juggle patient care with complex insurance portals, errors happen and treatments get delayed. A dedicated authorization team ensures a smooth, predictable revenue cycle and happier patients.
Accelerated Patient Care
Reduced Physician Burnout
Guaranteed Payment Clearance
Why Choose Vibrace
High First-Pass Rate
Our thorough reviews drastically reduce peer-to-peer delays.
Rapid Turnaround
We submit requests immediately upon receiving orders.
Fully Transparent
Track authorization statuses easily within your own system.
Stop Waiting on Hold
Let our specialists secure your medical approvals faster and more reliably.
Get Authorization Support