Prior Authorization

pre-authorization
%
Cost Savings

Streamline Access to Care While Optimizing Your Revenue Cycle

We handle the administrative tasks associated with securing authorization, so you an focus on delivering quality care to your patients without delay. By proactively obtaining pre-authorizations, healthcare facilities can reduce claim denials, minimize errors in billing and accelerate reimbursement processes.

  • We utilize your hospital's EHR to perform as one of your hospital's FTEs
  • A dedicated Manager is provided to each client
  • Our internal audit team reviews 100% of our work
  • Full transparency reporting
    • % of Prior Authorization Approval to Total Number of Requests
    • Turnaround Time to Submit Authorization Request
    • % of Denials Due to Prior Authorization
  • 24/7 - 365/day coverage depending on your service needs

Our Proven Prior Authorization Process

pre-authorization
  • Step 1

    Prior auth sent to NYX Health

  • Step 2

    NYX verifies prior auth

  • Step 3

    NYX submits request to payer

  • Step 4

    NYX Follow-up (as needed)

  • Step 5

    NYX submits additional clinical data (as requested)

  • Step 6

    NYX enters prior auth detail into EHR