Prior Authorization Outsourcing for Medical Practices
We handle insurance approvals for procedures, imaging, and medications so your front desk isn't on hold with payers and your patients aren't waiting on care.
We chase the payer, not you and 96% of the authorizations we submit get approved.
- ✓96% approval rate on requests we submit
- ✓U.S.-Based Account Manager
- ✓Backup Resource at No Extra Cost
Talk to a Prior Auth Specialist
Get a turnaround estimate scoped to your specialty mix no obligation.
(630) 313-0856Thanks — we've got your request
A prior auth specialist will call you back during U.S. business hours.
(630) 313-0856A delayed authorization doesn't just stall a claim it bumps a patient's procedure date, ties up your staff on hold with a payer, and often ends in a same-day cancellation your schedule can't easily refill. That's the specific problem this service is built to remove from your practice.
Prior authorization outsourcing means handing that entire process to a dedicated outside team: verifying what's required, submitting documentation, following up until there's a decision, and reporting that decision back to your staff. MDHelpTek runs this process for physician practices and clinics nationwide from our office in Lisle, Illinois.
This is one of four functions covered by your dedicated Operations Team the same team that also handles front desk coverage, referral coordination, and insurance eligibility checks for your practice.
What This Looks Like for a Practice Like Yours
Authorizations that used to sit for two weeks now clear in days. We stopped losing procedures to expired approvals.
What we Handle, Start to Finish
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Insurance verification & authorization checks
Insurance verification & authorization checks
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CPT and payer-specific submissions
Each payer's own requirements and forms, not a one-size template.
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Clinical documentation coordination
We work directly with your care team to assemble what the payer needs.
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Payer portal submissions and follow-up calls
Whichever channel gets a faster response for that specific payer.
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Real-time status tracking with escalation
A request that stalls gets escalated it doesn't just sit in a queue.
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Decision reporting to your front desk
Decision reporting to your front desk
How it works
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1
Clinical request received
Your team sends the order. We log the payer's requirements the same day.
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2
Requirements verified
We confirm exactly what this payer needs before submitting anything the single biggest cause of avoidable denials.
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3
Documentation & submission
Assembled and submitted through the payer's portal or by phone, whichever moves faster for that payer.
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Active follow-up
We chase the payer, not you. Every open request has a standing follow-up until it is resolved.
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Decision reporting
Approval, denial, or an info request reported to your practice with the reference number and next step.
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Peer-to-peer coordination
If a payer requires a physician-to-physician review, we flag it to your practice with enough lead time to schedule it before the appointment date.
96% of the Authorizations We Submit Get Approved
That's the number the earlier version of this section didn't have before, MDHelpTek couldn't point to more than "fewer authorizations sitting untouched" and "fewer same-day cancellations." Now it can: practices that hand this off see a 96% approval rate on the requests we submit, because requirements get verified against the specific payer before anything goes out, not after. Turnaround still varies by payer and specialty we'll give you a realistic estimate for your specific mix during a free review.
Five People, the Cost of One Hire
Prior authorization isn't staffed as a standalone hire it's one of four functions covered by your dedicated Operations Team, the same team handling front desk coverage, referral coordination, and insurance eligibility checks for your practice. One team, for less than the real cost of recruiting, training, and retaining a single in-house employee with none of the coverage gaps a solo hire brings.
Works your account daily
Primary Resource
Manages day-to-day prior authorization tasks in direct coordination with your office.
Backup Resource
Trained in parallel at no additional cost, so there's zero coverage gap if your primary contact is out.
Oversees your account
Team Lead
Oversees workflow execution, quality assurance, and reporting to your office manager.
Duty Manager
Manages escalations and resolves operational issues before they become disruptions reachable by direct message for urgent needs.
Account Manager
U.S.-based your named point of contact for strategic oversight and performance monitoring across all four functions.
Your Account Manager is U.S.-based; the rest of the team works U.S. business hours, so response times don't depend on time-zone overlap. If retraining is ever needed on your account, MDHelpTek provides one full month of service at no charge.
Specialties we support
- Urgent Care
- Laboratory Services
- DME & Outpatient Procedures
- Telehealth
- OB-GYN
- Psychiatry & Behavioral Health
- Dermatology
- Cardiology
Don't see your specialty listed? Payer authorization rules vary less by specialty than most vendors admit ask us directly whether we cover yours.
Built around PHI, not bolted onto it
Every authorization request we handle includes protected health information. We work under the same HIPAA-aware handling standards we implement for practices that hire us specifically for HIPAA compliance work because for us, this isn't a separate department's problem. It's the same standard applied to our own process.
Frequently Asked Questions
It's handing the insurance approval process for a procedure, imaging order, or medication to a specialized outside team instead of running it through in-house staff. That team verifies payer requirements, submits documentation, follows up until there's a decision, and reports the outcome back to your practice.
It depends on the payer and the specific request some payers decide in a day or two, others take longer, especially if a peer-to-peer review is required. We track every open request against the payer's stated turnaround window and escalate anything that stalls.
96% of the authorizations we submit get approved. Requirements get verified against the specific payer's rules before anything goes out, which is where most avoidable denials start.
We report the denial reason to your practice along with the next available step whether that's an appeal, additional documentation, or a peer-to-peer review rather than just passing along a "denied" status with no path forward.
Urgent care, laboratory services, DME and outpatient procedures, telehealth, OB-GYN, psychiatry and behavioral health, dermatology, and cardiology. If your specialty isn't listed, ask payer rules vary less by specialty than most vendors suggest.
It's not billed as a standalone service. Prior authorization is one of four functions covered by your dedicated Operations Team the same team handling front desk coverage, referral coordination, and insurance eligibility checks for less than the cost of hiring and carrying one in-house employee. Talk to a specialist for details specific to your practice.
Yes. Every request involves protected health information, so it's handled under the same HIPAA-aware protocols we use for clients who hire us specifically for HIPAA compliance work.
Stop Letting Prior Auth Delay Patient Care
Get a turnaround estimate scoped to your specialty mix no obligation.
One full month of service at no charge if retraining is ever needed on your account.