Authorization
Pre-Treatment Authorization for Seamless Insurance Approvals
Pre-Treatment Authorization for Seamless Insurance Approvals
At Elite Billing Solution, we ensure every patient’s procedure is thoroughly verified with their insurance provider to confirm whether the planned service is covered or not. This proactive step, known as authorization, is a critical component of medical billing that involves securing approval from the patient’s insurer before the service is provided.
Authorization guarantees that the procedure is deemed medically necessary and reimbursable by the insurance company. We recommend reviewing the patient schedule for authorization at least one week in advance to allow sufficient time for processing and communication.
Why Authorization Matters
Without proper authorization in place, the insurance company may deny payment, resulting in the patient being unexpectedly responsible for the cost. This not only delays the billing process but also affects the patient-provider relationship.
Authorization verifies medical necessity and insurance coverage ahead of treatment, creating a transparent, efficient, and secure workflow. Though the process may seem tedious at times, it is absolutely essential for minimizing denials and ensuring smooth claims processing and timely reimbursement.
Why Choose Us?
At Elite Billing Solution, we are dedicated to delivering dependable, efficient, and stress-free medical billing services that empower healthcare providers to optimize their revenue while reducing administrative workload.
Experienced & Reliable Team
Skilled professionals who understand the nuances of medical billing.
Attention to Detail
Accuracy is our priority to minimize errors and maximize reimbursements.
Proactive Approach
We monitor claims closely and address issues before they become costly problems.
Custom-Tailored Solutions
We adapt to your practice’s unique needs and workflow.
Transparent Communication
Regular updates and reports so you’re always informed.
Request a Free Practice Audit
Have questions or want to see how it can benefit your practice? Fill out the form below, and our expert team will get back to you shortly with the information you need. Whether you’re looking to streamline your revenue cycle or solve a specific billing challenge, we’re here to help.
- Fast Response Time
- Expert Guidance
- Customized Solutions for Your Practice
Patient Insurance Verification
This includes checking policy status, co-pays, deductibles, and any pre-authorization requirements to avoid claim denials later.
Accurate Patient Data Entry
Our team ensures all patient demographics, insurance information, and treatment details are correctly entered into the system.
Medical Coding & Claim Preparation
This ensures compliance with insurer requirements and avoids coding errors that can lead to claim rejection.
Claims Submission
Once verified and coded, claims are electronically submitted to insurance companies. We follow all carrier-specific guidelines to ensure timely and compliant submissions.
Payment Posting
We carefully reconcile each payment to ensure that the correct amounts are received and recorded.
Frequently Asked Question's
We work with a wide range of healthcare professionals, including solo physicians, specialty clinics, group practices, outpatient centers, and hospitals. Whether you’re a new practice or a large medical facility, our services are tailored to your specific needs.
We follow strict protocols that align with HIPAA regulations and industry best practices. Every claim is thoroughly reviewed before submission, and our systems are regularly updated to stay compliant with the latest billing codes and insurance guidelines.
Yes, we are proficient in using a variety of medical billing software including Kareo, Athenahealth, AdvancedMD, eClinicalWorks, and others. If you’re not currently using one, we can also help you choose and set up the best solution for your practice.
Absolutely. Our team actively manages denied or rejected claims by investigating the cause, correcting errors, and re-submitting them promptly. We also track trends in denials to help prevent them from recurring.
Once we understand your practice’s needs and complete the onboarding process, we can typically begin within 5 to 7 business days. Our team will guide you through every step to ensure a smooth transition.
Stay Connect with Elitebillingsolution
We understand that every practice is unique. Please share a few details about your organization and requirements, and we’ll tailor our services to streamline your revenue cycle, reduce denials, and accelerate reimbursements.
