Before a medical procedure, doctors assess its necessity for your health and check insurance coverage.
Collect necessary information, such as medical records and test results, to justify the procedure's necessity.
We confirm insurance coverage, and if needed, obtain prior authorization before the procedure.
If necessary, they request permission from your insurance by providing proof of the procedure's necessity.
The insurance reviews the request, deciding on permission based on necessity and coverage.
They can approve (say "yes") or deny (say "no") the request, providing reasons for denial if necessary.
The doctor informs you of permission; if granted, they schedule; if not, they explore alternatives or appeal.
They maintain documentation for their records, including papers and emails related to the process.
Post-procedure, they bill your insurance, using granted permission to ensure accurate payment processing.
Fostering a Culture of Innovation: By championing the BPO sector, we encourage and support innovative approaches that lead to extraordinary outcomes, ensuring continuous improvement and growth.
Elevating Performance Standards: Our commitment to championing the BPO industry involves setting and upholding high performance standards, driving excellence and surpassing expectations for extraordinary results.
