InsurancePrior Auth

Prior Authorization

A requirement by insurance companies for providers to obtain approval before delivering certain services, ensuring the services are medically necessary and covered under the patient's plan.

In Detail

Prior authorization is one of the most time-consuming administrative tasks in PT, averaging 45 minutes per request manually. Requirements vary by payer: some require auth before the first visit, others after a set number of visits. Common required documentation includes: diagnosis codes, clinical justification, treatment plan, and outcome measures. PRACTIS reduces prior auth processing time from 45 minutes to 4 minutes through AI-powered form completion and automated submission, with a 94% first-pass approval rate.

Related Search Terms

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