Prior Authorizations
Faster Approvals with Ease
At NYX Health we specialize in providing comprehensive prior authorization services (also known as pre-authorization or pre-certification) that help healthcare providers and patients navigate the complex world of insurance approvals.
We handle the administrative tasks associated with securing authorizations, so you can focus on delivering quality care to your patients without delay.
Outsource prior authorizations to reduce claim denials, minimize errors in billing, and accelerate reimbursement processes.
- 99.4% Accuracy Rate
- We'll utilize your hospital's EHR to perform as one of your hospital's FTEs
- Save up to 40% on administrative prior authorization costs
- A dedicated Manager and team 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
Why Choose NYX Health?
Expertise You Can Trust
Our team of professionals has extensive experience in handling prior authorization requests across various specialties. We stay up-to-date with the latest guidelines and regulations to provide accurate and efficient services.
Streamlined Processes
We use streamlined processes to handle your prior authorization needs quickly and effectively. We aim to minimize delays and ensure your requests are processed as smoothly as possible.
Increased Approval Rates
With our in-depth knowledge and strategic approach, we help increase the likelihood of approval for your authorization requests. We ensure that all necessary information is included and presented in the most favorable light.
Cost Efficiency
By outsourcing your prior authorization tasks to us, you can reduce overhead costs by up to 40% associated with administrative tasks. Our services are designed to be cost-effective and deliver a high return on investment.
We Handle All Specialties
Proven Prior Authorization Process
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Step 1
Initiate prior auth request
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Step 2
Submit request to payer
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Step 3
Check payer portal for status updates
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Step 4
Post updates to EMR
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Step 5
Repeated follow-up with payers
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Step 6
Initiate eligibility verification
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Step 7
Initiate benefit checks
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Step 8
Initiate insurance discovery
Download a Free Prior Authorization Checklist
Streamline your workflow with our Prior Authorization Checklist—now available for free download as a PDF!
This essential guide helps healthcare providers ensure all necessary documentation and steps are completed accurately, minimizing delays and improving approval rates.