Prior Authorization & Eligibilty Verification
Your expedited route to obtaining the answers and authorizations you require
Prior Authorization & Eligibility Verification Services
- Streamlined processes for efficiency
- Thorough coverage, eligibility, and benefits verification
- Preparation and submission of all required documentation
- Expert completion of criteria sheets and forms
- Diligent follow-up on prior authorization requests
- Timely updates to patient accounts According to a 2020 survey by the American Medical Association, 94% of physicians report care delays due to insurance company prior authorization requirements.
Benefits
- Save time and reduce administrative costs
- Efficiently manage multiple orders with 24/7 access to a secure online dashboard
- Easily track submission statuses through the online portal
- Prevent costly service delivery resulting in denials or incomplete reimbursement
- Intuitive Dashboards and Real-time Analytics
Powered by our proprietary Sigma RCM platform, we handle the workload for you. Our platform seamlessly integrates with any EHR or PM system to retrieve calendar and order requests. We electronically submit all necessary information to the payer, while our user-friendly dashboards offer clear analytics of order status from submission to approval.
Sigma RCM Platform Features
- Efficient bulk imports and exports of orders and status results
- 24/7 secure portal access for consolidated dashboards and status tracking
- Centralized repository for maintaining patient information and documentation
- Submission of orders to payers via EDI 278 transaction, fax, or online Customizable user roles and security access
- Effortlessly manage patient appointments with color-coded calendar views and status updates
