Prior Authorizations
Prior Auths. Simplified.
We handle the entire prior authorization process, working directly with insurers to secure approvals quickly, reducing delays, cutting admin burden, and improving patient access to care.
PRIOR AUTHORIZATION
Approvals Before the Clock Runs Out.
We submit every prior authorization request within 24 hours, formatted to each payer’s exact documentation requirements. Our team tracks every pending auth in real time and escalates to peer-to-peer review before any deadline expires.
Practices working with CoreMedX recover 14.6 staff hours per physician per week previously lost to manual auth management, and see a 34% reduction in authorization-related appointment delays within 60 days
REAL-TIME TRACKING
Every Auth Status. Always Visible.
Every authorization we manage is tracked in a live dashboard your team can access 24/7. Approvals, pending requests, adverse decisions, and expiration dates, all visible in one place, updated in real time.
Automated expiration alerts fire at 30, 14, and 7 days before any approval expires, giving your scheduling team enough time to request renewals without rescheduled procedures or day-of surprises.
APPEALS & PEER-TO-PEER
Denied Today. Approved Tomorrow.
When a prior authorization is denied, our team reviews the reason immediately, prepares a fully documented appeal, and submits it within 24 hours. For peer-to-peer reviews, we schedule the call, prepare your physician’s talking points, and handle all payer logistics.
Our PA appeal overturn rate is 78% compared to a 42% industry average for practices managing appeals in-house.
