From verification to appeals, we control the process before it controls your schedule and revenue. Our medical prior authorization services include:
Our prior authorization solutions combine certified expertise, automation, and real-time visibility to accelerate your approvals. Â
500+ CPC-Certified Revenue Cycle Specialists
Experienced professionals trained to manage complex authorization requirements.Â
Robotic Process Automation (RPA)
Automated workflows that reduce manual effort and improve accuracy.Â
Real-Time Payer Tracking Dashboards
Complete visibility into authorization status, turnaround times, and payer responses.
More than administrative support, our prior authorization support services help healthcare organizations improve financial performance and operational efficiency.
We take on the authorization load without requiring you to hire, train, or expand payroll.
Turn approved care into collected revenue without avoidable write-offs.
Fix approval breakdowns before they grow into 120-day collection problems.
Most denials happen because documentation does not match payer policy language.
Our prior authorization specialists build payer-specific authorization packets that support medical necessity from the start. We align clinical documentation with Medicare Advantage, Medicaid Managed Care, and commercial payer requirements to improve first-pass approval rates and reduce avoidable denials.
Our insurance authorization services support a wide range of treatments, procedures, and medical equipment that require payer approval. We help providers secure timely authorizations while minimizing delays in patient care.
If you want us to, we can support patient coordination too. Our prior authorization services can help patients know:
Stop getting paid zero because one code did not match.
No more weeks waiting on manual processing.
Do not let requests sit unnoticed in payer queues.
When emergency care, urgent services, or unexpected circumstances make prior approval impossible, our medical prior authorization services recover revenue from services delivered before authorization approval.Â
Our retroactive authorization recovery process include:Â
Imagine running your practice without chasing insurance reps, resubmitting the same authorization twice, or wondering whether a treatment will get paid. Our prior authorization processing service streamlines your entire revenue cycle so you can focus on care, not callbacks.
If your team spends hours each week on payer calls, resubmissions, or tracking portal updates, it may already be costing more than you think. When scheduling delays increase or AR begins aging due to missing approvals, that is usually the point where external support makes sense. We evaluate your current volume, denial trends, and staffing structure before recommending a transiti
No. We do not replace your workflow. We work within it. We adapt to your existing systems, including Epic, Cerner, athenahealth, eClinicalWorks, NextGen, Allscripts, and other leading EHR platforms. We align with your scheduling process and billing cycle to remove friction without disrupting daily operations. Most clients experience smoother coordination within the first few weeks.
Velentra Health Care does both. We prevent new authorization breakdowns, and we also review existing cases that are stuck or denied. If claims have aged due to authorization gaps, we assess whether recovery is possible and act accordingly.
Onboarding timelines depend on your size and complexity. Most practices transition within a few weeks. We map your workflow, define responsibilities, and begin gradually so there is no interruption to patient scheduling.
Our pricing for prior authorization services depends on volume, specialty complexity, and payer mix. High-volume imaging centers operate differently than multi-specialty hospitals. We review your authorization workload first, then provide a structured quote based on actual case flow and service scope. You only pay for what you truly need.
Beginning in 2026, impacted payers are required to issue decisions on expedited prior authorization requests within 72 hours and standard requests within 7 calendar days. Actual turnaround times may vary based on the payer, clinical complexity of the case, and whether all required documentation is submitted correctly the first time.
If prior authorizations are delaying care or reimbursement, it may be time for a better process. Our insurance authorization services help providers achieve faster approval turnaround, reduce staff workload, and improve financial performance.Â
Get in touch with us today!
With 10+ years of experience, Velentra Health Care provides trusted Revenue Cycle Management services for practices, hospitals, and laboratories.
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