Auth initiation
Auth requests submitted through payer portals and phone channels.
Prior authorization support — auth initiation, payer follow-up, clinical documentation, denial prevention and reporting — with specialists who know payer rules.
Prior authorization delays are costly on both sides. Procedures get postponed, patients get frustrated, referrals leak and claims get denied for "no auth on file." Most practices lose visibility once the auth leaves the front desk — nobody follows up systematically until it becomes urgent.
Opervics runs prior authorization support as a managed function — auth initiation, payer follow-up, clinical documentation support, denial prevention and reporting — with specialists who know payer rules and turnaround expectations.
Auth requests submitted through payer portals and phone channels.
Active follow-up on pending auths — no request sits idle.
Packets assembled with required clinical info to support approval.
Peer-to-peer reviews scheduled between clinician and payer.
Auth denials reviewed; recurring causes fixed upstream.
Auth volume, approval rate, turnaround time and payer trends.
These are the same operational issues we see across clients — and the same ones our process is designed to remove.
Requests sit in payer portals for days with no visibility.
Patients and clinicians wait on approvals that should have been faster.
Insufficient documentation leads to payer denials — rework and delays.
Nobody knows what's outstanding across payers and service lines.
Front desk and clinical staff pulled into chasing auths.
Nobody tracks approval rate, turnaround time or payer patterns.
Every service inherits the same baseline security posture, then adds service-specific controls on top.
Access, change management, monitoring and incident response aligned to HIPAA.
PHI access, redaction and audit logging defined with your compliance team.
Role-based access to EHRs, payer portals and clinical systems — scoped and audited.
Auth volume, approval rate, turnaround time and payer trends reported weekly.
Auth initiation, payer follow-up, clinical documentation support, peer-to-peer coordination, denial prevention and reporting.
Yes — commercial payers, Medicare Advantage, Medicaid MCOs and specialty payers, with payer rules documented in runbooks.
Same-day where information is complete. We work from a defined intake and prioritize by procedure date.
Yes — clinical packets are assembled with required documentation, and peer-to-peer reviews are coordinated when needed.
Auth volume, approval rate, turnaround time, denial rate and payer trends — reported weekly.
Per auth, per FTE, or a monthly retainer — agreed upfront.
A short conversation is usually enough to scope the volume and propose a starting point.