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