📞 Call Us: +1 5055285800 ✉️ info@medixionpro.com 📍 150 Washington Ave, Santa Fe, NM 87501 ⭐ 97% First-Pass Claim Rate 🏥 Trusted by 500+ Providers Nationwide 🔒 HIPAA Compliant & Certified 🌐 Serving All 50 States Since 2019 📞 Call Us:+1 5055285800 ✉️ info@medixionpro.com 📍 150 Washington Ave, Santa Fe, NM 87501 ⭐ 97% First-Pass Claim Rate 🏥 Trusted by 500+ Providers Nationwide 🔒 HIPAA Compliant & Certified 🌐 Serving All 50 States Since 2019
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Prior Authorization & Pre-Certification

Get Prior Authorizations Approved
Without the Delays

Our end-to-end prior authorization service manages submission, real-time status tracking, and proactive follow-up with payers for procedures, imaging, specialty medications, and inpatient admissions. A dedicated authorization specialist and fast denial appeals mean your patients get care on schedule and your practice gets paid.

Real-Time
Status Tracking
All
Payers Accepted
1:1
Dedicated Specialist
89%
Appeal Success Rate
Turnaround
Faster Approvals
↓ Fewer treatment delays
Coverage
Procedures, Imaging & Rx
Commercial, Medicare & Medicaid
Denial Appeals
✅ Handled For You
Clinical documentation included
HIPAA Compliant
✅ Certified
All submissions handled securely
HIPAA Certified
89% Appeal Success Rate
All 50 States
500+ Providers Trusted

Complete Prior Authorization & Pre-Certification Support

As a trusted prior authorization partner for physicians and group practices, our specialists manage the complete authorization process for procedures, imaging, specialty medications, and inpatient admissions with all commercial and government payers. We proactively track every request, follow up directly with payer utilization management teams, and provide real-time status updates so you always know where each authorization stands.

Turnaround varies by payer and service, but our proactive follow-up approach consistently prevents authorizations from stalling in payer queues. From submission to approval, your practice has a dedicated authorization specialist as your single point of contact, and we handle appeals whenever a request is denied.

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Authorization Request Submission

Complete, payer-specific authorization requests prepared and submitted with the required clinical documentation.

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Real-Time Status Tracking

Every request logged and monitored in our tracking system so you always know exactly where it stands.

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Payer Follow-Up & Escalation

Direct follow-up with payer utilization management teams to resolve requests for additional information fast.

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Medication & Radiology Pre-Auth

Prior authorization for specialty medications, advanced imaging, and diagnostic radiology orders.

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Denial Appeals & Reconsiderations

Fast, documentation-backed appeals filed whenever an authorization request is denied.

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Scheduling Coordination

Authorization timelines coordinated with your scheduling team so procedures aren't delayed or cancelled.

How We Get Requests Approved Faster

A clear, tracked process from request to approval — with real-time updates at every stage.

1

Request Review & Documentation

We gather clinical notes, orders, and medical necessity documentation, then prepare every payer-specific authorization request.

2

Submission & Tracking

Requests go out to commercial, Medicare, and Medicaid payers, each logged in our tracking system with expected turnaround times.

3

Proactive Follow-Up

We contact payer utilization management teams directly, resolving requests for additional information before they cause delays.

4

Approval & Appeals

Once approved, we confirm authorization details with your team, and file a fast appeal for any request that comes back denied.

Prior Authorizations We Handle

From imaging to inpatient admissions, our authorization team knows each payer's specific requirements.

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Radiology & Imaging

MRI, CT, PET Scans

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Specialty Medications

Injectables & Infusions

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Surgical Procedures

Inpatient & Outpatient

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Durable Medical Equipment

DME & Supplies

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Inpatient Admissions

Concurrent Review

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Specialist Referrals

Commercial Enrollment

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Physical & Occupational Therapy

Ongoing Care Plans

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Home Health Services

Post-Acute Care

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TRICARE / VA CCN

Government Programs

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Denial Appeals

Reconsiderations & Peer Review

Ready to Stop Chasing Prior Authorizations?

Talk to our authorization team today and get a clear turnaround estimate for every request your practice needs approved.

📋 Get a Free Consultation

Prior Authorization FAQs

Common questions healthcare providers ask about prior authorization and pre-certification.

How long does prior authorization take?

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Turnaround varies by payer and service type, but our real-time tracking and proactive follow-up consistently prevent requests from stalling in payer queues. We provide status updates so you always know exactly where each request stands.

Which services do you handle prior authorization for?

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We manage prior authorizations for procedures and surgeries, advanced imaging and radiology, specialty medications, durable medical equipment, inpatient admissions, and therapy services across all major commercial and government payers.

What happens if an authorization is denied?

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Our team reviews the denial reason, gathers supporting clinical documentation, and files a timely appeal directly with the payer so your patients aren't left waiting or paying out of pocket.

Can you handle a high volume of requests for a group practice?

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Absolutely. Whether you need a handful of authorizations a week or a high-volume specialty practice, our team ensures nothing falls through the cracks from initial submission to final approval.

Will I have a single point of contact for my requests?

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Yes. From submission to approval, your practice has a dedicated authorization specialist as your single point of contact, keeping you informed at every stage of the process.

Do you coordinate authorizations with our scheduling?

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Yes. We track authorization timelines against your scheduled procedures so approvals come through in time and appointments don't need to be rescheduled or cancelled.

Related Services

Pair prior authorization with our other revenue cycle services for a fully managed billing operation.