eBotics team helps providers to obtain Pre authorization. In the medical billing world, pre-authorization, prior authorization, pre-certification, and notification are terms that may be used interchangeably to mean that for certain situations and procedures, providers have to contact insurers in advance and obtain a certification number in order to be reimbursed properly (or at all) for services. In fact, most claim denials happen when a patient is ineligible for services billed by the provider. Depending on what the patient's coverage documents and the provider's contract with the insurer say, neglecting to obtain pre-authorization can result in reduced reimbursements or lower benefits for the patient. Services that don't require pre-authorization can be subject to review in some cases. Knowing which insurers require which pre-authorizations can be complex, but our medical billing software and/or pre-certification tools provided by insurers can help medical billing specialists navigate the pre-authorization maze.
We at eBotics, submit our pre-authorization request over the call, fax and on insurance portals. Many insurance companies provide Prior Authorization Request Form (both offline and online) to submit written pre-authorization. Every insurance company has its own requirements for pre-authorization request.
