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Prior Authorization

Service Overview

Prior authorization obtains payer approval before certain services are delivered. ClaimWell secures authorizations and tracks them to approval so services are covered when they are provided.

Why it matters: Missing or expired authorizations are among the most common and costly denial types, and they are often preventable.

Common Problems

  • Services delivered without required authorization
  • Authorizations that expire before use
  • Time-consuming payer back-and-forth

Operational Benefits

  • Authorizations secured before service
  • Active tracking to approval and expiration
  • Less staff time spent on payer phone calls

Revenue Impact

Preventing authorization-related denials protects revenue on high-value services and avoids costly write-offs.

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