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.

A 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.

Faster Approvals

Fewer Denials

End-to-End Authorization Support

What's included

What we handle, start to finish

Insurance verification & authorization checks

CPT and payer-specific submissions

Each payer's own requirements and forms, not a one-size template.

Clinical documentation coordination

We work directly with your care team to assemble what the payer needs.

Payer portal submissions and follow-up calls

Whichever channel gets a faster response for that specific payer.

Real-time status tracking with escalation

A request that stalls gets escalated it doesn't just sit in a queue.

Decision reporting to your front desk

Process

How it works

Clinical request received

Your team sends the order. We log the payer's requirements the same day.

Requirements verified

We confirm exactly what this payer needs before submitting anything the single biggest cause of avoidable denials.

Documentation & submission

Assembled and submitted through the payer's portal or by phone, whichever moves faster for that payer.

Active follow-up

We chase the payer, not you. Every open request has a standing follow-up until it's resolved.

Decision reporting

Approval, denial, or an info request reported to your practice with the reference number and next step.

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.

Best Candidates for Prior Authorization Services

MDHelpTek has specially designed procedures to outsource prior authorization services for medical practices that handle frequent authorization requests.

Speciality Medical Clinics

Medical outlets or clinics with more specialities require frequent authorization services to avoid medical delays.

Volumised Healthcare Practices

Practices typically handling a steady volume of procedures, imaging medical studies, or medication requests require prior authorization services.

PA Backlogs Practices

Healthcare teams dealing with delayed authorizations, approvals or unexpected rescheduling require structured processing support.

Contact Us

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Clinic Name

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Our Trusted Prior Authorization Process

MDHelpTek focuses on a structured and proactive approach to manage all the authorizations with ultimate precision, accuracy and speed.

🏥

Clinical Request Received

We receive the order or medical procedure details and verify the payer and patient details.

🔍

PA Requirements Verification

We verify all the prior authorization requirements by payer, CPT/procedure, diagnosis and medical policy rules.

📄

Documentation and Submission

After collecting all the clinical documents, we submit the authorization request through the payer portal or any appropriate channel.

📞

Active Follow Ups

We track the status, regular follow-ups with the payers and escalate the urgent or unexpectedly delayed requests to avoid any complications.

📊

Decision Reporting

We communicate the final result to your team including the approval information and next procedure details if denied.

🤝

Flexible & Custom Support

We go beyond standard services — our Virtual Assistants adapt to your workflow and support any task your practice needs.

Outcomes

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.

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.

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

Specialties we support

Urgent Care Laboratory Services DME & Outpatient Procedures Telehealth OB-GYN Psychiatry & Behavioral Health Dermatology Cardiology

Leading Benefits of Choosing MDHelpTek

Reliance on MDHelpTek for prior authorization is a wise option in the healthcare market to avoid delays and disruptions in medical processing.

Measured Improvements Before And After MDHelpTek

Metric

Approval turnaround time

Denials due to missing auth

Patient cancellations due to delay

Before MDHelpTek

3 to 5 days

14%

Frequent

After MDHelpTek

1 to 2 days

Less than 3%

Rare

Trust & compliance

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

What is prior authorization outsourcing?

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.

How long does prior authorization take?

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.

What's MDHelpTek's success rate on prior authorizations?

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.

What happens if a prior authorization is denied?

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.

Which specialties does MDHelpTek handle prior authorizations for?

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.

How is prior authorization outsourcing priced?

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.

Is patient information handled securely during the authorization process?

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.