Precertification


HealthPro’s precertification team is responsible for insurance eligibility and benefits, as well as for pre-authorizing procedures to ensure that providers and facilities receive the maximum reimbursements possible.
  • Daily reporting of insurance verification, co-insurance & deductible amounts
  • Verification of referral requirements
  • Verification of patient’s CPT (procedure code) and DX (diagnosis code, ICD10) and confirmation of prior authorization for facilities and physicians
  • Authorization information can be directly noted in patient charts
  • Maintain daily, weekly, and monthly logs for reconciliation
  • In many cases, HealthPro can also get STAT authorizations for last minute appointments, or add-on surgeries
Inquire today to speak with one of our team members for a customized quote:
info@healthproltd.com