Staying Ahead of Change. Delivering Results
Faster Approval Turnaround Across Surgical Specialties
Decrease in DNFB Accounts
Reduction in Overhead Costs
Our Services
What's Included in Our Prior Authorization Outsourcing Services
From verification to appeals, we control the process before it controls your schedule and revenue. Our medical prior authorization services include:
- Eligibility Verification & Benefits Check
- Authorization Request Submission
- Clinical Documentation Review
- Medical Necessity Verification
- Referral & Authorization Coordination
- Payer Communication & Follow-Up
- Expedited Authorization Management
- Authorization Status Tracking
- Authorization Renewal & Reauthorization
- Prior Authorization Appeals & Resubmissions
Keep Pace with Evolving Payer
A Modern Approach to Prior Authorization Management
Our prior authorization solutions combine certified expertise, automation, and real-time visibility to accelerate your approvals.
500+ CPC-Certified Revenue Cycle Specialists
Experienced professionals trained to manage complex authorization requirements.
Robotic Process Automation (RPA)
Automated workflows that reduce manual effort and improve accuracy.
Real-Time Payer Tracking Dashboards
Complete visibility into authorization status, turnaround times, and payer responses.
Structured Roadmap
What Sets Us Apart as a Prior Authorization Company
More than administrative support, our prior authorization support services help healthcare organizations improve financial performance and operational efficiency.
50% Reduction in Overhead Costs
We take on the authorization load without requiring you to hire, train, or expand payroll.
98% Net Collection Stability
Turn approved care into collected revenue without avoidable write-offs.
Protect Revenue From Extended AR Cycles
Fix approval breakdowns before they grow into 120-day collection problems.
Criteria-aligned Process
Stop Medical Necessity Denials Before They Happen
Most denials happen because documentation does not match payer policy language.
Our prior authorization specialists build payer-specific authorization packets that support medical necessity from the start. We align clinical documentation with Medicare Advantage, Medicaid Managed Care, and commercial payer requirements to improve first-pass approval rates and reduce avoidable denials.
Proactive and Deadline-driven
Comprehensive Authorization Support Across Critical Services
Our insurance authorization services support a wide range of treatments, procedures, and medical equipment that require payer approval. We help providers secure timely authorizations while minimizing delays in patient care.
- Medications & Specialty Drugs
- High-Cost Procedures & Surgical Services
- Durable Medical Equipment (DME)
- Diagnostic Imaging (MRI, CT, PET, and Nuclear Medicine)
- Infusion Therapy & Biologics
- Home Health & Post-Acute Care Services
- Rehabilitation & Therapy Services
- Specialty Care Referrals and Treatment Programs
Catalyzed Collections in 90 Days
Our Operational Commitments
If you want us to, we can support patient coordination too. Our prior authorization services can help patients know:
- What’s happening
- What timelines look like
- What we need from them (if anything)
- What comes next if the payer denies coverage
Stop getting paid zero because one code did not match.
- Validate CPT and diagnosis codes before authorization is sent
- Ensure approved codes mirror the final billed claim
- Prevent post-service denials that take 60–120 days to recover
- 40% AR reduction
No more weeks waiting on manual processing.
- Submit prior authorization requests through payer-approved platforms such as Availity, CoverMyMeds, Waystar, and payer-direct portals
- Track status online without calling payer reps
- CMS-0057-F & FHIR-Ready Workflows
Do not let requests sit unnoticed in payer queues.
- Same-day authorization request initiation
- 1-business-day document request handling
- Rapid escalation for time-sensitive cases
Missed an authorization? It doesn't always mean lost revenue.
When emergency care, urgent services, or unexpected circumstances make prior approval impossible, our medical prior authorization services recover revenue from services delivered before authorization approval.
Our retroactive authorization recovery process include:
- Retro-auth filing window validation (24 hours–30 days)
- Medical necessity review against payer criteria
- Clinical evidence and physician note compilation
- CPT/HCPCS/ICD-10 alignment
- Retro-authorization submission and status tracking
- Payer escalation before deadline expiration
Performance Benchmarks
Faster Approvals. Fewer Denials. Stronger Revenue Performance.
Imagine running your practice without chasing insurance reps, resubmitting the same authorization twice, or wondering whether a treatment will get paid. Our prior authorization processing service streamlines your entire revenue cycle so you can focus on care, not callbacks.
- 24–48 Hour Submission Turnaround
- < 2% Preventable Denial Rate
- 600+ Payer Portal and ePA Touchpoints Managed
- 24/7 Case Monitoring and Support
- 100% HIPAA-Compliant Operations
Frequently Asked Questions
If your team spends hours each week on payer calls, resubmissions, or tracking portal updates, it may already be costing more than you think. When scheduling delays increase or AR begins aging due to missing approvals, that is usually the point where external support makes sense. We evaluate your current volume, denial trends, and staffing structure before recommending a transition.
No. We do not replace your workflow. We work within it. We adapt to your existing systems, including Epic, Cerner, athenahealth, eClinicalWorks, NextGen, Allscripts, and other leading EHR platforms. We align with your scheduling process and billing cycle to remove friction without disrupting daily operations. Most clients experience smoother coordination within the first few weeks.
Manifest Technology Solutions does both. We prevent new authorization breakdowns, and we also review existing cases that are stuck or denied. If claims have aged due to authorization gaps, we assess whether recovery is possible and act accordingly.
Onboarding timelines depend on your size and complexity. Most practices transition within a few weeks. We map your workflow, define responsibilities, and begin gradually so there is no interruption to patient scheduling.
Our pricing for prior authorization services depends on volume, specialty complexity, and payer mix. High-volume imaging centers operate differently than multi-specialty hospitals. We review your authorization workload first, then provide a structured quote based on actual case flow and service scope. You only pay for what you truly need.
Beginning in 2026, impacted payers are required to issue decisions on expedited prior authorization requests within 72 hours and standard requests within 7 calendar days. Actual turnaround times may vary based on the payer, clinical complexity of the case, and whether all required documentation is submitted correctly the first time.
Achieve Up to 40% Faster Authorization Turnaround
If prior authorizations are delaying care or reimbursement, it may be time for a better process. Our insurance authorization services help providers achieve faster approval turnaround, reduce staff workload, and improve financial performance.
Get in touch with us today!
