Prior Authorization & Pre-Certification

Prior authorization is a critical component of the Revenue Cycle Management (RCM) process, as missing or incorrect authorization is a leading cause of claim denials. A denied claim not only delays payments but also negatively impacts the financial stability of healthcare providers. Ensuring that prior authorization is completed accurately and on time helps maintain a steady cash flow and operational efficiency.
At Statmed RCM Solutions, our prior authorization experts stay updated with the ever-changing requirements of various insurance payers. We manage the entire authorization process, from verifying medical necessity to obtaining referrals. By handling all the necessary documentation, we ensure that approvals are secured before services are rendered, preventing unnecessary delays and administrative burdens.
Our real-time prior authorization system allows for quick approvals, reducing patient wait times and ensuring seamless access to necessary treatments.