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CrestClaimRCM

Service

Prior Authorization Services

We chase approvals so treatments are not delayed or denied.

Prior authorizations eat hours of staff time and delay care. We submit, track and follow up on every request until a decision is made, and log it so nothing is billed without approval.

What's included

  • Authorization requirement checks
  • Request submission via portal, fax or phone
  • Clinical documentation packaging
  • Status follow-up until decision
  • Authorization tracking log with expiry alerts
  • Peer-to-peer scheduling support

How it works

  1. 1Identify services needing approval
  2. 2Submit complete requests
  3. 3Follow up with the payer
  4. 4Record approvals and expirations

Why it matters for your practice

Less staff burden

Hand off one of the most time-consuming tasks.

No unauthorized claims

Every billed service is matched to an approval.

Faster care

Patients start treatment sooner.

Frequently asked questions

Which services need prior authorization?

It varies by payer. We maintain a payer-by-payer list for your specialty and check every scheduled service against it.

How do you track approvals?

Every authorization number, approved units and expiry date is logged in your system and flagged before it runs out.

Can you help with peer-to-peer reviews?

Yes. We schedule the peer-to-peer call with the payer and prepare the clinical summary for your provider.

Ready to improve your prior authorization?

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Find out how much revenue your practice is leaving on the table.

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