Menu
Let's Connect
Let's Connect
Reduce Denials, Save Time, and Improve Your Revenue Cycle

Streamlined Pre & Retro Authorization Services for Faster Approvals

Our expert team handles prior and retro authorization requests with accuracy and speed. From paperwork submission to denial resolution, we simplify the process so you can focus on patient care while we ensure timely approvals and secure reimbursements.

Schedule a Meeting

What is Prior authorization?

Prior authorization is a management process used by insurance companies to determine if a prescribed product or service will be covered and it’s also one of the most difficult tasks that a medical practice must take on. This process can be used for certain medications, procedures, or services before they are given to the patient. It is a challenging, and expensive process because it consumes so much of your office’s time and resources. Because of this, many healthcare systems and hospitals decide to outsource the work to an experienced medical billing company

Comprehensive Prior Authorization Services for Faster Approvals

We carefully evaluate the medical necessity and insurance requirements to ensure your authorization request meets all payer guidelines from the start.

Our team manages the complete paperwork process, preparing and submitting accurate documentation to insurance companies without delays.

We actively track and follow up with payers to prevent unnecessary waiting times, ensuring your requests move forward smoothly.

f an authorization is rejected, we promptly notify providers and work on resubmission or appeals to secure approval quickly.

How does Prior Authorization work?

Getting prior authorizations approved involves many people – primarily patients, healthcare professionals, and the patient’s health insurance companies.

Prescription Prior Authorization

When it comes to medication prior authorization, the process typically starts with a prescriber ordering medication for a patient. In many cases, providers may need to directly call the insurance companies, which often requires long periods of waiting and maybe even persistent calls for a couple of days.

Medical Prior Authorization

The prior authorization process begins when a service prescribed by a patient’s physician is not covered by their health insurance plan. Communication between the physician’s office and the insurance company is necessary to handle the prior authorization.

Provider Opinion on Prior Authorization

Many physicians are not fond of the growing number of prior authorizations needed by insurance companies in recent years. A 2019 study from the American Medical Association reported that 86% of physicians believe that prior authorizations have increased in the prior 5 years.

Why is Retro Authorization Important?

Retro Authorization holds significant importance as it ensures healthcare providers receive rightful reimbursement for their services. Without undergoing this process, providers may face non-payment for services that were not pre-authorized, placing a considerable financial strain on their ability to deliver quality care to patients.

Key Components of a Retro Authorization Request

A retro authorization request requires accurate medical records, proof of medical necessity, and timely submission details. These components ensure faster approvals and reduce the chances of claim denials.

Patient’s Medical Records

Comprehensive documentation of the patient’s medical history and the specific services provided.

Detailed Explanation

A thorough explanation outlining the necessity for retro authorization and why the services were not pre-authorized.

Supporting Documentation

Any additional documentation supporting the retro authorization request, such as test results or physician notes.

Provider Information

Relevant details about the healthcare provider submitting the request, ensuring clarity in the authorization process.

Our Expert Prior Authorization Solutions for Providers

Understanding the financial landscape of medical billing involves recognizing the profound impact that retro authorization can have on Revenue Cycle Management (RCM). Retro authorization, when mismanaged or delayed, can disrupt the smooth flow of revenue through various stages of the medical billing process.

Delayed Revenue Recognition

Pending authorizations can slow down claim approvals, causing delays in recognizing revenue for services provided.

Increased Administrative Burden

Manual paperwork and constant follow-ups add extra workload for staff, taking focus away from patient care.

Potential Revenue Loss

Denied or missed authorizations can result in unpaid claims, directly affecting provider income.

Effect on Cash Flow

Authorization delays create disruptions in cash flow, impacting the financial stability of healthcare practices.

Stay Ahead in Medical Billing

Boost your brand’s visibility and growth with strategies that deliver real results.

Specialties We deal with

Healthcare professionals can take advantage of our experience in a wide range of specialties by working
with SA Care Consultancy. We ensure that your billing and coding requirements are met accurately and promptly.
Scribe Align specializes in a range of medical billing and coding specialties, including:

Cardiology

Neurology

Oncology

Orthopedic

Dermatology

Urology

Family Medicine

Internal Medicine

Psychiatry

Radiology

Nephrology

Anesthesia

See All Specialities

Why Choose Us for Pre & Retro Authorization Services

We deliver accurate, compliant, and cost-effective RCM solutions that reduce denials, speed up payments, and boost your cash flow. Our expert team handles the entire process so you can focus on patient care.

Rapid Revenue Recovery

25 Days

First-Pass Resolution

99 %

Denial & Rejection

5 % - 10%

Short Turnaround Time

24 Hours

Electronic Claim

95%

Electronic Payment

95%

Client Retention

100 %

Revenue Increase

30%

Trusted Softwares You’ll Recognize

Our team leverages industry-leading tools trusted by healthcare and marketing professionals alike—streamlining billing, campaigns, and operations for smoother performance.
nextgen
rxnt
dr-chrono
athena-health
compulink
practice-ehr
charm-health
azalea-health
allegiance-md
harmony-medical
wrs-health
collaborate-md
nexus
mahler-health
nextech
kareo
chart-logic
download (8)
download (7)
download (6)
download (3)
download (2)

What Our Clients Says

Our clients trust us to deliver results — here’s what they have to say about their experience.

Their RCM support made patient payments smooth and predictable—we finally have consistent cash flow.

– Dr. Emma Williams

My clinic’s website started ranking locally in just two months, and appointments are flowing in.

– Mark Johnson

They helped me turn my idea into a real launch with clear steps and supportive guidance.

– Sarah Patel

Outsourcing admin tasks freed up our time, and new partnership leads started coming in.

– Alan Rogers

Our website is fast, clean, and easy for patients to use—exactly what we needed.

– Linda Chen

Accurate coding eliminated billing errors and helped us avoid denials.

– Dr. Maria Sanchez

They got our providers credentialed quickly—claims started processing sooner than expected.

– Kevin Brown

Their process system made our billing cycle clear and easy to manage.

– Jessica Turner

Eligibility checks now happen upfront—no surprises, no delays.

– Robert Davis

They helped chase payments effectively—AR days dropped noticeably.

– Priya Singh

Denied claims got resolved fast—revenue bounced back immediately.

– Emily Jackson

The help desk is responsive and scheduling errors are now rare.

– Michael Lee

Their authorization follow-ups saved us so many denied pre-authorizations.

– Olivia Grant

Their reports are tailored to our needs—easy to understand and very useful.

– Daniel Morgan

Simplify Pre & Retro Authorizations

Avoid treatment delays and claim denials with our expert authorization services. We handle approvals quickly so your patients get care faster—and your revenue stays secure.

Get Authorization Support Now

frequently asked question

Pre-authorization is the approval process required by insurance companies before certain medical services, treatments, or prescriptions are provided. It ensures medical necessity and coverage.

Prior authorization helps providers secure timely approvals, reduce claim denials, and ensure services are reimbursed by insurance without delays.

Most payers require patient medical records, physician notes, treatment plans, and insurance details to process a prior authorization.

Retro authorization is the process of obtaining approval from the insurance company after the service has already been provided, often required in emergencies or unavoidable circumstances.

Retro authorization is needed if pre-authorization was missed due to urgent care, system errors, or when services were provided before insurance details were available.

Our team promptly reviews denial reasons, submits appeals, and provides complete documentation to resolve and secure approval efficiently.

Have a Question? We’re Here to Assist