Insurance agencies use prior authorization (precertification, prior approval etc.) to check if a service or product is covered and whether
it will be paid in part or full. Prior authorization is usually obtained before certain procedures or medications are given to a patient.
Prior authorization often deprives people of the required service, delaying the process.
Providers need prior authorization to get the patient’s health insurance approval before the company covers the service cost.
Right diagnosis and providing the correct medical codes are very crucial in authorization. Correct coding and documenting the required procedure before the treatment
is the key for timely authorization. This is often a challenging task. A coder’s role and task make a huge impact in this process.
MTS pre-authorization representatives are trained with the most up-to-date payor requirements so that the process is efficient and prompt.
