Verfication of Benefits

Prior Authorization Services

Prior Authorizations, Handled Smarter

Prior Authorization (PA) can take a lot of time and often causes errors, delays, and extra work for staff. Code Cure AI handles the whole PA process from start to finish. Using smart strategies and automation, we speed up approvals, reduce denials, and make your revenue cycle run smoother—so your team can focus more on caring for patients.

What We Provide

End-to-End Prior Authorization Management

We handle the full PA process, from submitting requests and tracking approvals to managing documents and appeals.

Specialty-Customized Workflows

We customize our PA workflows to your specialty, ensuring clinical and payer requirements are met for successful approvals.

Insurance Verification & Benefit Checks

Before submitting a PA, we check the patient's insurance coverage. We also look for medical necessity or step therapy requirements. This helps reduce delays or denials.

Documentation Collection & Review

We collect and review clinical documents, notes, and test results. This ensures the PA submission meets the payer’s criteria and has all the required information.

Real-Time Submission & Follow-Up

Our team submits authorizations promptly and tracks them daily. We communicate with payers and escalate issues when needed to keep your approvals moving.

Denial Management & Appeals

If an authorization is denied, we look into why. We fix any documentation gaps and start appeals quickly. This helps us get approvals and prevent delays in care.

Patient & Provider Communication

We give quick updates to your staff and patients. This keeps them informed about the authorization status and next steps. It reduces confusion and enhances satisfaction.

KPI, Reporting, and Visibility

You will get a report on approval rates, turnaround times, payer delays, and other key performance indicators. This will help you find bottlenecks and improve work processes in the future.

Optimization of AI-driven PA

The AI tool will track authorizations, predict denials, auto-fill forms, and reduce manual work while learning from every case.

Value Added to Your Practice

Faster Approvals

We reduce turnaround time by managing every step, including payer follow-ups.

Reduced Staff Burden

Free your clinical and admin teams from hours of paperwork and phone calls.

Reduced Treatment Delays

Patients receive urgent care without having to languish in PA queues.

Lower Denial Rates

Accurate submissions and real-time tracking boost success. Everything is well documented.

Process Visibility

See all requests; black-box approvals have lost their value.

How Our Process Works

Discovery & Intake

We look at your current prior auth process. We find pain points and collect your specialty-specific needs.

System Setup & Integration

We connect with your EHR or practice management system. This lets us access patient records and clinical notes, speeding up submission.

Daily Authorization Management

We begin by managing prior authorizations for scheduled procedures, medications, or tests. This involves eligibility checks, documentation, effort, and follow-up.

Status Updates and Reporting

You will receive timely updates on pending, approved, and denied authorizations. Turnaround times and approval patterns are depicted in monthly reports.

Ongoing Improvement & Support

We keep optimizing the process. We suggest improvements and adjust to payer changes or new service lines.

Why Code Cure AI

Because we treat prior authorizations as more than a task, we treat them as a critical part of your patient care and revenue flow. You can count on us. Our skilled team uses technology to handle authorizations quickly, accurately, and in compliance.

With our AI tools, you’ll stay ahead of authorization delays and regulatory changes. You won’t just react, you’ll lead.

Let’s Make Prior Authorizations Easy

Let’s eliminate treatment delays, reduce denials, and ease the burden on your staff. Contact Code Cure AI today to take control of your Prior Authorization process, the smart way.