By allowing the professionals at JPRS to obtain pre-certification or prior approval, your organization’s staff will continue to focus on what matters the most… patient care.
The Process
- Review referral requests for procedures to determine if authorization is needed
- If not needed release for scheduling
- If authorization is required send completed authorization form to Doctor for signature
- Forward signed authorization form to insurance carrier/payer for approval
- Resolve any issues on authorization
- After approval is received forward for procedure scheduling
Benefits to the Provider
- Prevent denials and loss of revenue due to unmet prior authorization requirements
- Clinical staff stay focused on patient care
- Appropriate payments received
- Fewer delays in patient care
- Increased patient satisfaction