+1 (307) 209-2667
info@hhsbilling.com
30 N Gould St Ste R, Sheridan, WY 82801, USA
Medical Pre-Authorization Services
Secure Approvals. Reduce Denials. Optimize Reimbursement.
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Get prior authorizations for high-value or high-risk procedures
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Prevent delays and denials due to missing approvals
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Ensure payer-specific documentation and medical necessity requirements
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Improve patient satisfaction with fewer surprises and faster scheduling
Contact US
What We Do:
Gather supporting documentation for timely approvals
Initiate and track prior authorization requests for required CPTs
Communicate with payers to check status and resolve issues
Identify procedures needing pre-auth based on payer guidelines
Record and document authorization details in your PMS
Our Key Pre-Authorization Tasks – Streamlined and Accurate
We validate insurance coverage and active policy status prior to every visit to ensure services are billable.
Every insurance plan has unique rules. We check which CPTs require authorization and follow the correct submission process.
Our team collects and submits all necessary clinical documents, physician notes, and diagnostics that support medical necessity.
We actively monitor authorization status and follow up with insurance carriers to prevent treatment delays.
Once approved, we enter authorization numbers and validity dates into your system for clean, accurate billing.
If a pre-auth is denied, we assist with gathering appeal documentation to fight back and secure approvals when possible.
Protect Revenue and Patient Satisfaction with Seamless Pre-Authorizations
Prior authorization is more than just a formality—it’s a crucial step in avoiding costly denials and treatment delays. At Horizon Healthcare Solutions, we specialize in handling the complex and ever-changing landscape of insurance pre-authorization.
We identify procedures that require pre-approvals, gather the required documentation, and follow payer-specific protocols to submit clean requests. From diagnostic tests and specialty referrals to high-cost medications or procedures, we ensure everything is in place before the service date.
Our process not only saves your staff hours of back-and-forth with payers but also ensures patients aren’t hit with unexpected bills due to missed authorizations. With our help, your practice gains speed, accuracy, and peace of mind.
Common Challenges in Medical Pre-Authorization
01
Unclear Payer Guidelines
Different payers require pre-auths for different procedures, and missing these nuances can result in costly claim denials.
02
Delays in Documentation Submission
Incomplete or late clinical documentation often leads to pre-auth rejections or rescheduling of services.
03
Lack of Pre-Auth Tracking
Without a clear system to monitor authorization status, requests can fall through the cracks or expire unnoticed.
04
Denied Pre-Auth Requests
When medical necessity is not clearly demonstrated or incorrectly documented, insurers may deny the request outright.
05
Emergency Procedures Without Prior Approval
Urgent treatments may proceed without time for prior authorization, complicating claims unless protocols are followed correctly.
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Time-Consuming Manual Workflows
Handling pre-auths manually adds to your staff’s administrative burden, reducing their time for patient-focused tasks.
Make Pre-Authorizations Work for You — Not Against You
At Horizon Healthcare Solutions, we simplify the most frustrating part of modern medical billing—insurance pre-authorizations. We take ownership of this process so your team can stay focused on patient care, not paperwork.
From start to finish, we track every request, ensure documentation compliance, and communicate directly with payers to reduce delays. By catching issues early and following payer rules precisely, we help your practice avoid revenue loss from denied or delayed claims.
With our HIPAA-compliant systems and payer-specific expertise, you can trust us to make pre-authorization seamless, accurate, and faster—resulting in more predictable revenue and a better experience for both your patients and staff.
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.
