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Insurance Authorization


How it works?

Physicians across the nation have been struggling to find a professional who can relieve them of their administrative chores so that they can face the challenges of providing quality healthcare. Most physicians would rather prefer a specialist taking care of the reimbursement process and maximize their revenue but they are tirelessly looking for the rest to manage their revenue cycle management.

Insurance Authorization

Although the insurance companies – either Federal Government sponsored Medicare and Medicaid or private health insurance plans – are obliged to honor claims associated with plan- linked medical services availed by the beneficiaries, yet, the elusive nature of medical services warrant a prior authorization for assuring yourself of prompt reimbursement of your claims on medical services rendered. As instances of denials becomes more common than ever, there is growing realization of the importance of getting patients' health insurance authorized by the respective insurance carriers; expecting your patients to have their insurance authorized proactively on their own from the insurance carriers could be too optimistic. Therefore, considering the stringent audit practices by the insurance carriers, the onus of Insurance Authorization will eventually fall on providers.

But, like the other components in the Medical Billing Management, Insurance Authorization too expects you to invest considerable time and resource in fulfilling obligatory formalities. As this extended exercise is going to negatively impact on you and your staff's core medical concern, you will be well advised to avail outsourced services that come far more economically.

Specifically built for easing and augmenting unhindered revenue generation, our ingenious Insurance Authorization is result-driven – ensuring prompt realization of medical claims on medical services rendered to beneficiary patients.

Our proven Insurance Authorization Process:

  • Gathering all the information about your patient's particular health condition, and the likely course of medical intervention needed
  • Verifying your patient's health insurance card for the presence or otherwise of an approved preauthorization from the respective insurance carrier
  • Intimating the respective health insurance carrier about the necessity of an authorization in the event of the absence of authorization
  • Providing substantiated explanation for the necessity of medical services over and above the initially identified in the insurance plan
  • Arguing successfully in favor of a flexible authorization that enables you to carry on with comprehensive medical treatment for your patient
  • Enabling a smooth translation of medical services into medical claims

Thus, our Insurance Authorization, charting a complete process will invariably relieve you off your concerns over denial of your medical claims, and help focus on your core concern of enhanced medical care to your patient base.

Above all, our ability to obtain Insurance Authorization from the Federal Government's Medicare and Medicaid authorities as well as private insurance carriers, such as UnitedHealth Group, WellPoint Inc. Group, Kaiser Foundation Group, Aetna Group, Humana Group, HCSC Group, Independence Blue Cross Group, and many more is a true testimony of our scope.

Real Physicians, Real Results

Discover how physician groups thrive with us

We had no visibility into whether our IPA capitation payments were accurate. MBC's reconciliation process identified $138,000 in underpayments in the first quarter. That's revenue our prior vendor never even looked for.

Dr. S. Larsen
Dr. S. Larsen
Wound Care Practice — San Diego, CA

“I appreciate your prompt results on my Medicare inquiry. Dr. Ingrid Arnold and I appreciate the quality work that you and your team have provided to her practice. We had tried a couple of different insurance posting options, before we contracted with your company. We are delighted that we found your company to assist us. We find your reports timely and informative. I will recommend your services, without reservation, to any of our physician friends, who might be looking for a more reliable billing service”

Dr. Ingrid Arnold
Dr. Ingrid Arnold
DO | Mesquite, Texas

“I want to thank you for your professional help during the past two years with our accounts receivable. I have absolutely nothing but appreciation for your company in helping us out with the jam we were in when our office manager suddenly quit. Since that time we have enjoyed an absolutely non-problematic relationship. Our experience with claims injury, handling insurance rejections, posting our payments, the account receivable process, patient statements, and the excellent service provided to my patients are greatly appreciated. I also sincerely appreciate all the help that you have given me and my staff and I wish you the best of luck in future endeavors.”

Dr. Larry C. Watson
Dr. Larry C. Watson
MD | Houston, Texas

“For the last 4 years, MBC has been an integral part of growing our counseling and Intensive outpatient programs. My team and I appreciate MBC's commitment to exceptional customer support, credentialing, and billing services.”

Dr. Allen
Dr. Allen
Texas

Record high collections this month for our Chiropractic Practice! Thank you MBC!

Dr.Faulds
Dr.Faulds
Alabama

I just wanted to take a moment to say a big thank you for all the hard work you've put in over the past two years! Your efforts have really helped us transform our old accounts receivable into the impressive numbers we see today. I truly appreciate everything you do to keep our operations running smoothly all year round. Let’s keep up the great work together as we continue to tackle past claims and stay on top of the current ones.

Vadim Vartanov
Vadim Vartanov
Internal Medicine Associates of Jacksonville, FL

“We truly appreciate the exceptional work you are doing. Dr. Martha and I are grateful for your dedication and commitment. Your availability, regardless of the time, has been invaluable to us. The outstanding results we've achieved are a testament to your efforts, and we hope to continue this successful journey together. Thank you for all that you do!”

Judith Cedeno
Judith Cedeno
Podiatry Office Manager, FL

“Just a note of thanks in appreciation of all your help. The credentialling process can be daunting but you and the team at MBC were awesome every step of the way. Communication was clear, the process moved efficiently and the service was stellar. Thanks again and I look forward to working with you on this journey.”

Dr. Michael Lacqua
Dr. Michael Lacqua
Plastic & Reconstructive Surgeon, NY

“Our billing was poorly organized with a poor collection rate before you took on our account, and you have worked diligently to find what can be paid and have organized our billing process, including the sometimes difficult workers comp cases which compose a lot of my billing. Your unflinching attitude to constantly find ways to improve our billing is beginning to pay off. We are optimistic that with continued improvements and refinements we will see a big boost in our collections, and we are looking forward to a big turnaround in our finances in 2025 working with you. Thank you for your unstoppable attitude.”

Dr. James Baker
Dr. James Baker
Orthopaedic Surgeon | Knee and Hip - Stryker, TX
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