Prior Authorization

Prior Auth That Doesn't
Hold Up Your Cycles

In fertility medicine, a delayed authorization means a delayed cycle. Our prior auth management is aggressive, organized, and built around your scheduling workflow.

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Our Prior Auth Process

01

Benefit Verification

Before submission, we verify fertility coverage, lifetime max, and prior-auth requirements for each payer.

02

Auth Submission

We submit via each payer's preferred channel โ€” portal, fax, or phone โ€” with all required clinical documentation.

03

Status Tracking

Active follow-up on every open authorization so no request ages past its review window without action.

04

Appeals & Peer-to-Peer

When initial auth is denied, we prepare the appeal or coordinate peer-to-peer review with your medical director.

05

Cycle Scheduling Coordination

We flag approved authorizations back to your clinical scheduler so cycles proceed without billing hold-ups.

Are auth delays affecting your cycle volume?

Our free audit reviews your current prior auth workflow and identifies where delays are occurring โ€” and how to fix them.

Book Your Free Audit โ†’