Prior-Authorizations

What is it?

RelateCare’s prior authorization process is automated, integrated, and as complete as possible in order to support organizations in qualifying for payment before they can deliver the ordered service their patients need — eliminating large amounts of work from your organization and into the hands of trained experts who can submit requests and documentation to payers, help you understand why a denial occurs, and work with the payer to approve your request in a timely and efficient manner.

How does it work?

RelateCare provides a team of expertly trained prior authorization representatives who work around the clock utilizing online portals, faxes, incoming and outgoing phone calls to submit and follow up on authorizations for all specialties, clinic visits, diagnostic/imaging testing, inpatient/outpatient surgeries, and primary care physician referrals.

Why do you need it?

Prior authorizations and pre-certification’s are necessary and unavoidable to ensure patients are covered for the care they need. The service often involves dedicated staff members spending significant time on the phone with payors in order to verify whether or not authorization is even required. When carried in-house, these services cost your organization a substantial amount of time and money.

Patient Testimonials

You have been the best person that I have spoken to so far! Thank you Patrick, I really appreciate it

Patient, Appointment Scheduling Service, California, USA

I received excellent advice from Amanda. She was very practical, helpful and supportive. This is a fantastic resource. Thank you.

Patient, Lactation Service, Ireland

It’s so nice to have someone here to listen to me

Patient, Post Discharge Service, Cleveland, USA

I want to let you know that Leah is phenomenal, she is most excellent, expedious, kind, knowledgeable. I have called through and spoken to her a couple of times now and she is as patient as can be so I want to let you know that I would give her 10 stars plus.

Patient, Appointment Scheduling Service, Boston, USA.

The RelateCare nurse truly went above and beyond to try to help this patient, including contacting the police, a suicide hotline and working with our clinic staff to contact a provider. I was extremely impressed and proud of this work. Really, really outstanding.

Healthcare Leader, Nurse Triage Service, Texas, USA.

The customer services representative who assisted me was… exceptionally friendly, helpful, and professional. Good customer service is not as common as one would hope.

Patient, Appointment Scheduling Service, Texas, USA.

you have been the most helpful person I have dealt with through this situation and I want to thank you so very much

Patient, Appointment Scheduling Service, St. Louis, USA.

Patrick went the extra mile, he was compassionate and made our experience so much easier

Patient, Appointment Scheduling Service, California, USA.

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