+1 (307) 209-2667
info@hhsbilling.com
30 N Gould St Ste R, Sheridan, WY 82801, USA
Dental Pre Authorizations
Secure Timely Insurance Approvals to Prevent Payment delays
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Get Major Procedures Pre-Approved
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Ensure Accurate Payer & Patient Payment Ratios
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Reduce Delays with Timely Submissions
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Improve Case Acceptance & Patient Trust
Contact US
What We Do:
Pre-Authorization Request Submission
Verification of Procedure Coverage
Submission of Detailed Treatment Plans
Follow-up and Status Updates
Approval Management & Documentation
Key Pre-Authorization Tasks We Handle
We handle pre-auth requests for key procedures like SRP, root canals, crowns, implants, bridges, extractions, orthodontic treatments etc. to ensure insurer approval before treatment begins.
Our team uploads and sends NEA- supported attachments such as X-rays, perio charts, and narratives when payers request supporting documentation— boosting approval rates and reducing follow-ups.
We tailor each pre-auth request to the specific requirements of the payer, including documentation format, codes, and submission platforms—eliminating guesswork and ensuring compliance.
Our streamlined process ensures all required information is collected and submitted quickly, minimizing delays and keeping your treatment schedule on track.
We work in sync with your in-house team to collect missing details and ensure every pre-auth request is complete—keeping operations smooth and communication transparent.
Getting timely approvals for major dental procedures is critical to avoid delays and denials. At Horizon Healthcare Solutions, we take care of submitting accurate and complete pre-authorization requests for treatments like crowns, SRPs, implants, bridges, and orthodontics. This ensures your practice stays compliant and your patients are informed upfront.
We communicate directly with payers, attach necessary clinical notes and x-rays, and track approvals from submission to final decision. Our experienced team minimizes rework and turnaround time, so you can schedule confidently and maintain high treatment acceptance rates.
Our process is seamless, fast, and customized to your workflow. With Horizon handling your dental pre-auths, your team can stay focused on delivering care while we manage payer communications and approvals in the background—accurately and efficiently.
Common challenges in Dental Pre Authorizations
Understanding the most frequent pre-authorization hurdles helps prevent treatment delays and denied claims.
01
Delays in Submission
Dental offices often face pre-authorization delays due to heavy front-desk workloads or unclear internal workflows. This can postpone patient treatment and cause dissatisfaction or rescheduling.
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Missing Clinical Documentation
Payers frequently reject or delay pre-auth requests that lack necessary supporting documents like radiographs, intraoral photos, or clinical notes. Many practices overlook attaching these due to time constraints or miscommunication.
03
Incorrect or Incomplete Procedure Coding
Using incorrect CDT codes or omitting essential procedure details can lead to immediate denial of pre-authorization requests. This often happens when staff members are unfamiliar with payer-specific coding requirements.
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Lack of Follow-Up on Submitted Requests
Once pre-auths are submitted, many practices fail to track their status or follow up with the payer. As a result, decisions are delayed or go unnoticed, impacting the treatment schedule and revenue flow.
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Uncertainty Between Medical and Dental Coverage
Some dental procedures, like extractions or trauma-related treatments, may fall under medical rather than dental benefits. This confusion can result in submissions to the wrong payer, delaying approvals.
06
Inconsistent Knowledge of Pre-Auth Requirements
Payers have different guidelines on what procedures require pre-authorization, which can change over time. Not staying updated on these requirements can lead to unnecessary submissions or missed pre-auths, increasing denial risks.
Secure Approvals. Minimize Delays. Maximize Revenue
Timely and accurate pre-authorizations are critical to avoiding costly claim denials and patient dissatisfaction. At Horizon Healthcare Solutions, we stay ahead of payer requirements to ensure all necessary approvals are secured before treatment begins.
Our team manages the entire process—from verifying procedure eligibility to submitting supporting documentation like NEA attachments—so your staff can focus on patient care, not paperwork. We work seamlessly with your team to minimize delays and reduce administrative burdens.
With Horizon Healthcare Solutions as your pre-authorization partner, you gain peace of mind knowing complex procedures like crowns, SRPs, and orthodontics are pre-approved correctly and efficiently. This not only protects your revenue but also enhances patient trust and scheduling confidence.
How We Add Value to Your Practice
Redefining Industry Excellence
HIPAA Compliant
Our commitment to HIPAA compliance ensures the highest standards of data security and patient confidentiality. We implement robust safeguards to protect sensitive information, allowing healthcare providers to focus on delivering exceptional patient care.
Proven Results and Cost Efficiency
Customized, Client-Centric Approach
Committed to Your Success
Comprehensive Claims Reviews
Regularly conducted assessments of denied claims to pinpoint submission errors and enhance future claim accuracy.
Ease and Simplicity
Our services integrate with your existing software and in-house team to ensure efficient and profit-focused processes.
Reliable Support, When You Need It
Our dedicated team is available to assist you during convenient hours and ensures prompt responses to your inquiries by phone, email or chat.
