The cheapest denialis the one that never happens.

Many denials are decided before the patient arrives: inactive cover, a service not included, an approval nobody requested. We check first.

Service
03 / 05
Pricing
Retainer or included
Free claims audit

§ 01Why it matters

Eligibility and authorisation errors are among the most preventable causes of denial. They’re also among the hardest to fix after the fact — some payers won’t approve retroactively at all.

§ 02Scope

What’s included.

  1. (a)

    Eligibility verification

    Cover, benefits and limits checked for scheduled appointments ahead of time.

  2. (b)

    Pre-authorisation requests

    Requests prepared and submitted with the documentation the payer needs.

  3. (c)

    Tracking and renewal

    Approvals tracked to their expiry, with renewals requested before they lapse.

  4. (d)

    Front-desk alerts

    Clear flags to your team when cover or approval is missing — before the visit.

§ 03Method

How it runs.

  1. Step 1

    Schedule feed

    We receive upcoming appointments through agreed access.

  2. Step 2

    Check

    Cover and authorisation requirements checked per payer.

  3. Step 3

    Request

    Missing approvals requested with documentation.

  4. Step 4

    Flag

    Anything unresolved is flagged to your team in time.

  5. Step 5

    Track

    Approvals logged against the claim they belong to.

§ 04What you see

  • A daily or weekly status list of upcoming appointments
  • An authorisation log with expiry dates
  • Monthly summary of issues caught before the visit

§ 05A good fit if

  • You see high volumes of insured patients
  • Your services often need prior approval
  • Denials for eligibility or authorisation keep recurring

§ 06Fee

Retainer or included

Compare pricing

A fixed monthly retainer of [[RETAINER_FEE]], or included in full revenue cycle management.

§ 07Questions

Questions about Eligibility & Pre-authorisation

How far ahead do you need the schedule?
Ideally [[ELIGIBILITY_LEAD_DAYS]] working days, so there is time to request approvals that take longer.
Do you contact patients?
Only if agreed. By default we work with payers and flag issues to your team.