Prior authorization services for healthcare practices

An AssistMedix prior authorization assistant submits requests, tracks approval status, and stays on payers until an answer comes back, so care does not stall waiting on paperwork. A dedicated, HIPAA-trained assistant working in your EHR, usually live within about a day.

✅ HIPAA-trained  ✅ BAA signed  ✅ All U.S. hours

Claims desk Tue · today
ChargesEntered — 24 encountersPosted
ClaimsSubmitted — 18 cleanClean
Denial#4471 — appealedRecovered
EligibilityBatch of 30 — verifiedVerified
PaymentsPosted — $12,480Reconciled
A/R 60+6 aging claimsFollowed up
PatientsStatements — 14Sent
CodingCPT / ICD reviewChecked
Approvals, followed through

What our prior authorization assistants handle

A dedicated assistant who owns a request from submission to decision, so approvals do not sit waiting on hold for someone to notice.

Submitting authorization requests

Requests prepared with the clinical documentation payers ask for and submitted through the portal, fax, or phone line each plan requires.

Tracking status to a decision

Every request tracked from submission through review, so nothing sits unanswered because no one followed up.

Payer follow-up calls

Calling payers to check status, answer information requests, and push a stalled case toward a decision.

Denial appeals

Denied requests reviewed and appealed with the documentation needed to make the case, instead of being written off.

Peer-to-peer review coordination

Scheduling the physician-to-physician review a payer requires and getting the right people on the call.

Documentation in your EHR

Every submission, call, and decision logged where your team can see it, so status is never a mystery.
What makes us different

A trained assistant who treats every request as something to push toward a decision, not a form to file and hope.

A dedicated biller who becomes a real extension of your revenue-cycle team — with two advantages the big billing companies can’t match.

Trained for payers : Knows what each payer wants to see

Trained on payer portals, medical necessity documentation, and the specific requirements that make a request approvable the first time.

Dedicated : The same assistant, every request

One dedicated assistant who learns your payer mix and your specialty’s requirements, not a rotating pool that relearns them every time.

Works in your EHR : Documents in your system

Requests, status, and outcomes logged directly in the EHR or practice-management system you already use.

Compliant : HIPAA-trained, BAA on file

Trained on HIPAA before day one, with a signed Business Associate Agreement covering every submission and every payer call.

Fast onboarding : Live in about a day

Not weeks of interviews and start dates. Our target is roughly one day from signed agreement to an assistant working your queue.

Founder-led : Value pricing, owner service

Fair, competitive pricing without the race to the bottom, and a direct line to the founder rather than a rotating account manager.

How our help can make your practise easier

How prior authorization support helps your practice

01

Faster approvals

Get patients to care sooner. The gap between ordering a treatment and getting it approved is where patients wait, and where some give up. A dedicated assistant working the request every day closes that gap faster than a form that sits in a queue.

02

Fewer treatment delays

Stop losing patients to the wait. A patient who abandons treatment because approval took too long is a worse outcome than a denial. Staying on top of every request keeps that from becoming a pattern in your practice.

03

Time back for your team

Stop pulling clinical staff into paperwork. Prior authorization is one of the biggest time sinks in a practice, and it usually lands on whoever has a spare minute. Handing it to a dedicated assistant means your clinical team stops being the fallback.

Schedule a Consultation

Get the Delegation Process Started

Step 1: Tell us what you need

Share your requirements with us—it only takes 30 seconds!

Step 2: Get an instant quote

We’ll send you a quote for our virtual assistant service right away. You can also schedule a quick call with our project manager to discuss the details.

Step 3: Kick things off

Finalize the payment, and let’s start delegating tasks to your new virtual assistant!
know more about Us

read service FAQ’s

A prior authorization assistant prepares and submits authorization requests, tracks each one through the payer’s review process, follows up until a decision comes back, and appeals denials when the case supports it. The goal is that no request sits unanswered because no one had time to check on it.

Insurance verification confirms coverage and flags that a service will need prior authorization. This service is the follow-through: actually preparing the request, submitting it, tracking it to a decision, and appealing if it’s denied. Many practices use both, since verification catches the requirement and this handles the process it triggers.

Your assistant submits and tracks requests through the payer portals, fax lines, and phone processes your practice already deals with, and logs everything in your EHR or practice-management system.

Yes. Every AssistMedix assistant is HIPAA-trained before working with a practice, and we sign a Business Associate Agreement (BAA) with you. PHI is handled to the same standard you would expect from staff sitting in your office, on every submission and every payer call.

Your assistant reviews the denial reason and, where the case supports it, prepares and submits an appeal with the documentation the payer needs. Requests aren’t written off just because the first answer was no.

Yes. When a payer requires a physician-to-physician review, your assistant schedules the call and makes sure your provider has the information they need going in.

A lot less. You avoid the salary, payroll taxes, benefits, and training cost of an in-house hire, while getting the same submissions, follow-up, and appeals handled by a dedicated, trained assistant.

Fast. Our target is about one day from a signed agreement to an assistant actively working your authorization queue, rather than the multi-week interview-and-onboard cycle many services run.

Yes. If your request volume grows or you add a provider, you can add hours or another assistant without renegotiating a contract. The model is built to flex with your caseload.

Our assistants are based in the Philippines and India, are fluent in professional English, and are trained specifically for U.S. prior authorization and payer processes. They cover all U.S. business hours.