Authorizations

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Authorizations

The primary reason for claim denials is because a patient is not eligible for services billed to the insurer by the provider. We helps healthcare providers reduce their accounts receivable cycle and increase revenue by reducing denials on account of ineligible patients.

ISSUES ON ACCOUNT OF LACK OF STRONG ELIGIBILITY AND BENEFITS VERIFICATION PROCESSES:

OUR ELIGIBILITY AND BENEFITS VERIFICATION AND ASSOCIATED SERVICES

We deploy the people, technology and apply our experience to ensure accurate determination of insurance eligibility. Our services include:

Receive Patient Schedules from the healthcare provider
Verify coverage on all primary and if applicable secondary payers by utilizing payer websites, and IVR systems
As required, we make calls to payers to check the eligibility status and patients for additional information
Update the results on the practice management system – update member ID, group ID, coverage start and dates, copay information and much more
We also provide additional services such as reminding the patient of the POS collection required, obtaining referrals from Primary Care Physicians (PCPs)

PRIOR AUTHORIZATION SERVICES

Our comprehensive prior authorization services ensure that your patients get timely care while ensuring that you get paid for the services you provide

BENEFITS OF OUR ELIGIBILITY AND BENEFITS VERIFICATION AND PRIOR AUTHORIZATION SERVICES

Improve speed to care for patients waiting on eligibility verification, particularly for procedures that require prior authorization
Improve clean claim submissions
Reduce days in A/R
Improve collections and profitability
Reduce costs by as much as 50% through offshore delivery

Other Services

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Ready to Elevate Your Healthcare Operations?

Partner with Bannu Health for expert medical coding and revenue cycle management solutions. Our team is here to support your growth with precision and reliability.

Our Services

Medical Coding Services

Accurate. Compliant. Certified.
We provide precise medical coding solutions by certified professionals to ensure clean claim submission and faster reimbursements.

RCM Services

Streamline Your Billing. Maximize Revenue.
From patient registration to final payment, our end-to-end RCM services help healthcare providers boost cash flow and reduce denials.

What types of authorizations do you obtain?

Pre-certifications, prior authorizations for diagnostic tests, surgeries, hospital admissions, and specialty referrals.

How do you track and follow up on pending authorizations?

We maintain a centralized tracker and proactively follow up with payers until final determination.

Do you verify medical necessity requirements before requesting authorization?

Yes. We cross-check payer policies to submit complete, medically supported documentation.

How do you handle urgent or same-day authorization requests?

We escalate such requests through payer-specific rapid channels or call queues.

Can you help reduce delays due to missing documents?

Definitely. Our team reviews required clinicals in advance and alerts your staff for needed documents.

Do you log authorization reference numbers and validity periods?

Yes, all details are documented and relayed for charge entry and billing accuracy.

FAQ

Got questions? We’ve got answers.

Have questions about our services or how we work? We’ve compiled answers to the most common queries to help you better understand what Bannu Health offers and how we can support your healthcare organization. Whether you’re new to medical coding and RCM or looking to switch providers, our FAQs are here to guide you.

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+1 (732) 762 6849

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sales@bannuspyhealth.com