Hassle-Free Prior Authorizations
Prior Authorization Management
Navigating the prior authorization process can be time-consuming and frustrating for healthcare providers. At Omnia, we take the burden off your team by handling the entire workflow—from initial submission to continuous follow-ups—with accuracy and persistence.
Our dedicated specialists ensure that each request is completed thoroughly and on time, minimizing delays in patient care and reducing claim denials. With deep knowledge of payer requirements and a proactive approach, we help streamline approvals, improve operational efficiency, and accelerate your revenue cycle.
What We Offer:
Verification
- Eligibility verification: Confirming patient insurance coverage and benefits
- Coverage verification: Determining if the specific treatment or procedure is covered under the patient’s insurance plan
Submission
- Preparing and submitting prior authorization requests to insurance providers.
- Ensuring accurate and complete documentation, including
- Patient information
- Treatment or procedure details
- Medical necessity justification
- Supporting documentation (e.g., medical records, test results)
Follow-Ups
- Tracking the status of prior authorization requests
- Following up with insurance providers to ensure timely processing and resolution.
- Addressing any issues or concerns that may arise during the process
Denial Management
- Reviewing and appealing denied prior authorization requests
- Identifying reasons for denial and gathering additional information or documentation to support the appeal
- Submitting appeals to insurance providers and negotiating resolutions