Prior Authorization Services
Streamlined auth workflows that eliminate phone holds and fax machines so your staff can focus on patients.
Hands-off
For your staff
Complete
Documentation
Tracked
Every auth
Appeals
On denials
The Problem We Solve
35 hrs
Per week on prior auth
The average practice spends on phone holds, faxes, and follow-ups.
34%
Claims denied for no auth
The single most preventable denial type — and the most costly.
78%
Of physicians report delays
Prior auth delays cause patient care delays, not just revenue loss.
What’s Included
Auth Requirement Detection
We check every scheduled procedure against payer requirements. Never miss a required authorization.
Submission & Documentation
Complete auth packages submitted with all required clinical documentation. Nothing missing, nothing delayed.
Payer Follow-Up
We follow up with payers so your staff doesn't have to. No more 45-minute phone holds.
Status Tracking & Alerts
Real-time visibility into every pending auth. Automatic alerts for approvals, denials, and expirations.
Denial & Appeal Management
When an auth is denied, we appeal immediately with additional supporting documentation.
Retro Authorization
For urgent or emergent cases, we handle retroactive auth submissions to recover revenue.
How It Works
Step 1
Assessment
We review your current auth volume, payer mix, and denial patterns. Identify where time and money are being lost.
Step 2
We Take Over
Our team begins managing all prior authorizations. Your staff stops making payer calls on day one.
Step 3
You See the Difference
Approval rates climb, auth-related denials drop, and your clinical staff gets 35+ hours back per week.
What Our Clients Say
“Everest A/R Management Group has been doing my primary care day and night clinic billing for two years and have done an amazing job so far. I highly recommend any family physician looking for billing services to consider and hire this group. I’m from South Texas and have clinics in Pharr & San Juan Texas. Call my clinics for a recommendation if interested.”
Norma Iglesias
“Everest has been an outstanding RCM partner with our organization for over 15 years. As a nationwide medical group of multi-specialty practitioners, Everest has provided support across several RCM functions ranging from non-contracted health plan appeals, NSA open negotiations, general as well as complex AR insurance collection follow up, and other internal workflows. The Everest team is flexible, accommodating, and ensures compliance with Company policies and procedures. The Everest professionals are a value add to any organization's RCM needs.”
Janice Smith
Frequently Asked Questions
Which payers do you handle prior auth for?
How quickly can you submit an auth?
What if a prior auth is denied?
Do you handle phone-based authorizations?
Can you handle surgical prior authorizations?
Find out how much revenue your practice is missing.
Free analysis from a billing expert who knows your specialty. No obligation. No contracts. Just numbers.