Prior approvals, called on insurance verification or pre-authorization, is an important role in the revenue cycle management cycle.
Businesses can outsource the Pre-authorization process.
Outsourced staff conduct can be assigned functions such as submitting and following-up preauthorization to various insurance companies.
They conduct authorization checks such as whether authorization started online by accessing the database and conduct verification via phone, fax Clinicals/HPI, Physician peer-to-peer and determine and request any further documents are necessary.