Prior Authorization Services
Accelerate prior authorizations and reduce delays across payers and procedures.
Eliminate Authorization Delays with Expert Support
Insurance-mandated prior authorizations can disrupt care and cash flow if not managed properly. At Ardur Healthcare, our prior authorization services help reduce administrative burden, cut down approval time, and prevent claim denials. We handle the entire process, from payer communication to status tracking, so you can stay focused on patient care. Here's what our prior authorization service includes:
Procedure Approvals: Fast, accurate submissions for pharmacy and procedural authorizations.
Multi-Payer Expertise: Familiarity with UHC, Humana, BCBS, TRICARE, Aetna, and Medicaid plans like Molina.
Portal Navigation: Skilled in platforms like Availity, CoverMyMeds, and CareMark.
Status Monitoring: Regular follow-ups to track, escalate, and resolve pending cases.
Integrated Documentation: We collect and submit clinical notes, CPT codes, and medical necessity data.
Our Prior Authorization Process
A proactive, payer-specific approach that ensures faster approvals and reduced denials:
Case Intake: We gather complete patient and service details from your EHR or intake team.
Medical Necessity Review: Clinical documentation is validated and aligned with payer criteria.
Submission to Payers: Requests submitted through EDI, portals, or direct communication channels.
Follow-Up & Escalation: We monitor approval timelines and escalate urgent requests when needed.
Status Reporting: You receive real-time updates and final determination notifications.
Why Choose Ardur Healthcare for Prior Authorizations?
Specialist-Level Payer Knowledge: From TRICARE to Molina, we know each payer's playbook.
Faster Turnaround Times: We cut authorization time with efficient workflows and aggressive follow-up.
Dedicated Authorization Experts: Every request is handled by trained specialists who understand payer requirements and ensure faster, more accurate approvals.
Full Integration with Your Billing: Our prior auth team coordinates with coding and claims to prevent downstream denials.
HIPAA-Compliant Systems: Data privacy and security are built into our entire process.
Ready to Improve Your Approval Rates?
Let Ardur Healthcare take over your prior authorization process: minimize delays, improve patient access, and reduce denials.
Start Prior Authorization SupportFrequently Asked Questions
Everything you need to know about our Prior Authorization Services.
Yes. We manage prior authorizations for medications, procedures, and diagnostic services across all major payers and platforms like CoverMyMeds.
We support prior auths for UHC, Aetna, Humana, TRICARE, Molina, Anthem, BCBS, and many regional and Medicare plans.
Most authorizations are completed within 24 - 72 hours, depending on payer timelines and urgency. We expedite urgent cases as needed.
Absolutely. We work with your current systems, no need to switch platforms or retrain staff.
Our experts reduce denials, speed up care delivery, and free your internal team from time-consuming back-and-forth with payers.
Ready to Optimize Your Revenue Cycle?
Stop letting claim denials and administrative burdens slow you down. Partner with Ardur Healthcare and focus on what matters most—patient care.